Clinic
Dental Germantown, LLC
Dental Germantown, LLC was paid $35K by Medicaid between Dec 2020 and Mar 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 25% of everything it billed.
33Billing provider infoDENTAL GERMANTOWN, LLC
PHILADELPHIA, PA 19133
PHILADELPHIA, PA 19133
33aNPI1487260220assigned 09/17/2020
33bProvider typeDental Clinic/Center
28Total paid$35K
24GClaims1,374
24DCodes billed12
24AFirst – last monthDec 2020 – Mar 2024
Compared with peers
Next to other Dental Clinic/Center providers in Pennsylvania
Rank by total paid#47 of 78
Median peer was paid$70K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2020 | 43 | $1K | |
| 2021 | 1,211 | $31K | |
| 2024incomplete | 120 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25% | 282 | 282 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 267 | 267 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 92 | 92 | $4K |
| D0274 | Bitewings - four radiographic images | 10% | 144 | 144 | $4K |
| D9110 | 8.8% | 109 | 108 | $3K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.3% | 56 | 32 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.2% | 52 | 38 | $2K |
| D0330 | Panoramic radiographic image | 5.8% | 61 | 61 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 107 | 107 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 175 | 172 | $1K |
| D4910 | <1% | 12 | 12 | $332.64 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 17 | 17 | $128.96 |
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 officialGILBERT, BENJAMIN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Dental Diamond LLC | Wilmington, DE | $329K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.