Clinic
Third Street Dental Mobile Van
Third Street Dental Mobile Van was paid $746K by Medicaid between Jan 2018 and Jul 2023, across 21 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 31% of everything it billed.
33Billing provider infoTHIRD STREET DENTAL MOBILE VAN
MANSFIELD, OH 44906
MANSFIELD, OH 44906
33aNPI1548594526assigned 09/24/2009
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$746K
24GClaims29,164
24DCodes billed21
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#214 of 348
Median peer was paid$1.33M
This provider vs. median0.6×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ANDERSON, PEGGY controls 15+ related entities in our dataset. Read more
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 | 8,199 | $177K | |
| 2019 | 6,895 | $170K | |
| 2020 | 4,032 | $116K | |
| 2021 | 4,765 | $139K | |
| 2022 | 4,306 | $118K | |
| 2023 | 967 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 31% | 4,110 | 2,674 | $229K |
| D0330 | Panoramic radiographic image | 14% | 2,486 | 2,403 | $107K |
| D1110 | Prophylaxis - adult | 13% | 2,943 | 2,890 | $98K |
| D0140 | Limited oral evaluation - problem focused | 11% | 4,611 | 4,461 | $79K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.7% | 713 | 577 | $35K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 1,412 | 1,353 | $35K |
| D0274 | Bitewings - four radiographic images | 4.1% | 2,220 | 2,151 | $30K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.9% | 1,727 | 1,696 | $29K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 606 | 452 | $28K |
| D1208 | Topical application of fluoride, excluding varnish | 3.2% | 1,723 | 1,690 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.8% | 1,090 | 1,064 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 3,167 | 3,060 | $14K |
9 more codes
| D1351 | Sealant - per tooth | <1% | 343 | $7K |
| D1206 | Topical application of fluoride varnish | <1% | 296 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 53 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 172 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 139 | $465.00 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 13 | $368.40 |
| D1330 | 0% | 1,278 | $0.00 | |
| D3120 | 0% | 15 | $0.00 | |
| D1999 | 0% | 47 | $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 officialANDERSON, PEGGY (CFO)
Parent organizationTHIRD STREET COMMUNITY CLINIC
| Provider | Location | Paid |
|---|---|---|
| Third Street Community Clinic, INC. | Mansfield, OH | $12.93M |
| Third Street Community Clinic, INC. | Mansfield, OH | $5.21M |
| Third Street Community Clinic INC | Shelby, OH | $2.81M |
| Third Street Community Clinic INC | Mansfield, OH | $2.80M |
| Third Street Community Clinic, INC | Mansfield, OH | $1.39M |
| Third Street Community Clinic, INC. | Ontario, OH | $774K |
| Third Street Community Clinic, INC | Bucyrus, OH | $593K |
| Third Street Community Clinic, INC. | Ashland, OH | $462K |
| Third Street Community Clinic, INC. | Bucyrus, OH | $400K |
| Third Street Community Clinic, INC. | Ashland, OH | $378K |
| Third Street Community Clinic, INC. | Mansfield, OH | $306K |
| Alliance Ob Gyn Specialists PLLC | Denton, TX | $297K |
| Third Street Community Clinic INC | Marion, OH | $234K |
| Third Street Community Clinic, INC | Mansfield, OH | $54K |
| Surgical Caregivers of Fort Worth LLC | Fort Worth, TX | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.