Dental
Special Needs Dentistry of PA
Special Needs Dentistry of PA was paid $162K by Medicaid between Feb 2024 and Dec 2024, across 5 billing codes. Its largest line is D9920, — 74% of everything it billed.
33Billing provider infoSPECIAL NEEDS DENTISTRY OF PA
EXTON, PA 19341
EXTON, PA 19341
33aNPI1497323992assigned 06/12/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$162K
24GClaims2,600
24DCodes billed5
24AFirst – last monthFeb 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#196 of 847
Median peer was paid$37K
This provider vs. median4.4×
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 | |
|---|---|---|---|
| 2024incomplete | 2,600 | $162K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9920 | 74% | 970 | 956 | $120K | |
| D1110 | Prophylaxis - adult | 15% | 728 | 727 | $25K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.3% | 809 | 808 | $15K |
| D0330 | Panoramic radiographic image | <1% | 58 | 58 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 35 | 35 | $560.00 |
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 officialROSENTHAL, RICHARD (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Ut Center for Pain Management and Research, INC | Provo, UT | $61K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.