Clinic
Community Health and Dental Care, INC
Community Health and Dental Care, INC was paid $28.54M by Medicaid between Aug 2018 and Dec 2024, across 124 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH AND DENTAL CARE, INC
POTTSTOWN, PA 19465
POTTSTOWN, PA 19465
33aNPI1447787585assigned 05/19/2017
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$28.54M
24GClaims299,903
24DCodes billed124
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#7 of 240
Median peer was paid$909K
This provider vs. median31×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,374 | $157K | |
| 2019 | 27,390 | $2.51M | |
| 2020 | 31,653 | $3.02M | |
| 2021 | 43,238 | $4.32M | |
| 2022 | 46,901 | $4.87M | |
| 2023 | 47,757 | $5.31M | |
| 2024incomplete | 101,590 | $8.36M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 96% | 95,781 | 77,559 | $27.38M |
| G9012 | Other specified case management service not elsewhere classified | 3.4% | 3,574 | 3,502 | $966K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 2,437 | 974 | $69K |
| V2020 | Frames, purchases | <1% | 1,484 | 1,181 | $46K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 24,978 | 22,197 | $14K |
| 0011A | <1% | 263 | 263 | $10K | |
| 0012A | <1% | 226 | 226 | $9K | |
| 3079F | <1% | 7,272 | 6,688 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,546 | 4,281 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 5,491 | 5,110 | $3K |
| 3074F | <1% | 14,732 | 13,311 | $3K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 279 | 274 | $3K |
112 more codes
| 3077F | <1% | 2,213 | $2K | |
| 3078F | <1% | 11,144 | $2K | |
| 3075F | <1% | 2,825 | $2K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,444 | $2K |
| 0064A | <1% | 38 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 389 | $1K |
| 3080F | <1% | 1,157 | $1K | |
| 92551 | <1% | 3,081 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 726 | $1K |
| 0071A | <1% | 24 | $880.00 | |
| 99173 | <1% | 3,346 | $829.78 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 180 | $754.15 |
| 0072A | <1% | 18 | $720.00 | |
| 90656 | <1% | 208 | $717.74 | |
| 0002A | <1% | 17 | $680.00 | |
| 0001A | <1% | 14 | $520.00 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 5,681 | $470.68 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 4,141 | $438.41 |
| 80305 | <1% | 4,423 | $390.95 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,327 | $331.09 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 969 | $290.22 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 635 | $215.80 |
| 3008F | <1% | 9,896 | $164.72 | |
| 90715 | <1% | 27 | $114.01 | |
| D0120 | Dental checkup, returning patient | <1% | 4,195 | $100.00 |
| 97024 | <1% | 1,883 | $84.12 | |
| 90688 | <1% | 524 | $82.72 | |
| D1110 | Prophylaxis - adult | <1% | 3,896 | $81.60 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 737 | $80.00 |
| D2335 | <1% | 197 | $72.00 | |
| 3044F | <1% | 12 | $60.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 994 | $55.50 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 788 | $54.00 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,521 | $54.00 |
| 83655 | <1% | 91 | $50.00 | |
| 90633 | <1% | 104 | $35.13 | |
| D9110 | <1% | 3,213 | $30.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 411 | $27.94 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 291 | $22.00 |
| D1206 | Topical application of fluoride varnish | <1% | 3,208 | $20.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 77 | $19.89 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,614 | $17.60 |
| 82962 | <1% | 1,180 | $17.60 | |
| 81025 | <1% | 1,574 | $16.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 671 | $15.40 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 143 | $14.36 |
| D1330 | <1% | 4,977 | $10.00 | |
| 1159F | 0% | 9,139 | $0.00 | |
| 99499 | 0% | 16 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 1,576 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 289 | $0.00 |
| 90461 | 0% | 1,537 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 89 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 1,965 | $0.00 |
| 90670 | 0% | 456 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 242 | $0.00 |
| 3050F | 0% | 17 | $0.00 | |
| D2332 | 0% | 210 | $0.00 | |
| D2140 | 0% | 204 | $0.00 | |
| 91300 | 0% | 14 | $0.00 | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 637 | $0.00 |
| 96160 | 0% | 274 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 33 | $0.00 |
| 0502F | 0% | 147 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 13 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 78 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 39 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 14 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 29 | $0.00 |
| 90756 | 0% | 15 | $0.00 | |
| D0191 | 0% | 14 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 31 | $0.00 |
| 1160F | 0% | 35 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 15 | $0.00 |
| 90734 | 0% | 13 | $0.00 | |
| 90746 | 0% | 13 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 927 | $0.00 |
| 2001F | 0% | 6,469 | $0.00 | |
| D2331 | 0% | 269 | $0.00 | |
| 96161 | 0% | 27 | $0.00 | |
| 90677 | 0% | 80 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 959 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 1,826 | $0.00 |
| 1036F | 0% | 13,867 | $0.00 | |
| 90686 | 0% | 603 | $0.00 | |
| 3048F | 0% | 336 | $0.00 | |
| D5899 | 0% | 684 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 1,173 | $0.00 |
| D0603 | 0% | 1,790 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 1,036 | $0.00 |
| 96127 | 0% | 120 | $0.00 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 0% | 468 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 269 | $0.00 |
| 0501F | 0% | 175 | $0.00 | |
| 99383 | 0% | 12 | $0.00 | |
| 97026 | 0% | 638 | $0.00 | |
| D2330 | 0% | 164 | $0.00 | |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 0% | 203 | $0.00 |
| 90698 | 0% | 372 | $0.00 | |
| 97162 | 0% | 52 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 358 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 67 | $0.00 |
| 91301 | 0% | 99 | $0.00 | |
| D2160 | 0% | 140 | $0.00 | |
| 88142 | 0% | 30 | $0.00 | |
| 90744 | 0% | 36 | $0.00 | |
| 85018 | 0% | 13 | $0.00 | |
| 90651 | 0% | 86 | $0.00 | |
| 90619 | 0% | 28 | $0.00 | |
| 3049F | 0% | 61 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 13 | $0.00 |
| D0602 | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMCGIVERN, BRIDGETTE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Community Health and Dental Care, INC. | Pottstown, PA | $1.03M |
| Community Health and Dental Care, INC | Barto, PA | $653K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.