Dental
Cletus a Fonmedig DDS LLC
Cletus a Fonmedig DDS LLC was paid $13K by Medicaid between Jul 2024 and Oct 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 41% of everything it billed.
33Billing provider infoCLETUS A FONMEDIG DDS LLC
ROSEDALE, MD 21237
ROSEDALE, MD 21237
33aNPI1528807708assigned 05/20/2024
33bProvider typeGeneral Practice Dentistry
28Total paid$13K
24GClaims305
24DCodes billed6
24AFirst – last monthJul 2024 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Maryland
Rank by total paid#404 of 598
Median peer was paid$42K
This provider vs. median0.3×
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 | 305 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 41% | 81 | 81 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 43 | 43 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 80 | 80 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.9% | 41 | 41 | $1K |
| D0330 | Panoramic radiographic image | 9.4% | 27 | 27 | $1K |
| D0274 | Bitewings - four radiographic images | 6.0% | 33 | 33 | $794.31 |
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 officialFONMEDIG, CLETUS (MEMBER)