Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Mentor › NPI 1548445570
Dental

Dental Professionals Cleveland-Nouneh, INC.

Dental Professionals Cleveland-Nouneh, INC. was paid $244K by Medicaid between Feb 2018 and Apr 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 27% of everything it billed.

33Billing provider infoDENTAL PROFESSIONALS CLEVELAND-NOUNEH, INC.
MENTOR, OH 44060
33aNPI1548445570assigned 01/09/2008
33bProvider typeDentist
28Total paid$244K
24GClaims6,874
24DCodes billed19
24AFirst – last monthFeb 2018 – Apr 2024
Compared with peers

Next to other Dentist providers in Ohio

Rank by total paid#187 of 745
Median peer was paid$38K
This provider vs. median6.4×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018253$5K
2019201$5K
20201,100$26K
20211,863$68K
20221,738$60K
20231,646$74K
2024incomplete73$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 27% 1,252 537 $66K
D0210 Intraoral - complete series of radiographic images 16% 637 623 $39K
D0150 Comprehensive oral evaluation - new or established patient 15% 1,428 1,391 $37K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 9.0% 344 207 $22K
D1120 Dental cleaning, childProphylaxis - child 6.8% 841 784 $17K
D0330 Panoramic radiographic image 6.3% 339 338 $15K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.9% 193 97 $10K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 3.2% 462 446 $8K
D1206 Topical application of fluoride varnish 2.7% 443 440 $7K
D1110 Prophylaxis - adult 1.8% 133 119 $4K
D1208 Topical application of fluoride, excluding varnish 1.4% 230 206 $3K
D1351 Sealant - per tooth 1.4% 153 41 $3K
7 more codes
D2335 1.3% 33 $3K
D7140 Extraction, erupted tooth or exposed root 1.2% 50 $3K
D0274 Bitewings - four radiographic images 1.2% 143 $3K
D2150 Silver amalgam - two surfaces, primary or permanent <1% 26 $1K
D0272 Bitewings - two radiographic images <1% 141 $1K
D2394 <1% 14 $1K
D0220 Intraoral - periapical first radiographic image <1% 12 $60.00

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 officialULICHNEY, DIANE (CREDENTIALING MANAGER)
Parent organizationDENTAL PROFESSIONALS CLEVELAND-LEE, INC.
Same official

Other billing entities under ULICHNEY, DIANE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.