Lancaster Cleft Palate Clinic

Lancaster Cleft Palate Clinic was paid $588K by Medicaid between Jun 2018 and Dec 2024, across 39 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 21% of everything it billed.

33Billing provider infoLANCASTER CLEFT PALATE CLINIC
LANCASTER, PA 17602

33aNPI1558381897assigned 07/20/2006

33bProvider typeProsthodontist

28Total paid$588K

24GClaims19,281

24DCodes billed39

24AFirst – last monthJun 2018 – Dec 2024

Compared with peers

Next to other Prosthodontist providers in Pennsylvania

Rank by total paid#2 of 6

Median peer was paid$36K

This provider vs. median16×

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
2018	39	$2K
2019	134	$8K
2020	1,270	$48K
2021	5,337	$174K
2022	267	$10K
2023	574	$27K
2024incomplete	11,660	$318K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D8670	Periodic orthodontic treatment visit	21%	886	875	$123K
D1120	Dental cleaning, childProphylaxis - child	9.0%	2,126	2,110	$53K
D2930	Prefabricated stainless steel crown - primary tooth	7.6%	432	125	$45K
D1206	Topical application of fluoride varnish	7.4%	2,905	2,888	$44K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.4%	2,405	2,389	$43K
D9920		7.1%	441	436	$42K
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	5.8%	278	256	$34K
92522		4.0%	330	322	$24K
D7140	Extraction, erupted tooth or exposed root	3.6%	331	130	$21K
D1330		3.4%	1,654	1,648	$20K
D1110	Prophylaxis - adult	3.1%	638	633	$18K
D1351	Sealant - per tooth	2.7%	877	241	$16K

27 more codes

92524		2.3%	169	$13K
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	2.2%	598	$13K
D1310		2.1%	1,465	$13K
D0272	Bitewings - two radiographic images	1.7%	730	$10K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.6%	211	$10K
D0140	Limited oral evaluation - problem focused	1.6%	230	$10K
D0150	Comprehensive oral evaluation - new or established patient	<1%	228	$5K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	111	$4K
D0210	Intraoral - complete series of radiographic images	<1%	93	$4K
92587		<1%	90	$4K
92568		<1%	274	$3K
D0603		<1%	1,102	$3K
D0330	Panoramic radiographic image	<1%	80	$2K
D9420		<1%	39	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	35	$2K
D0274	Bitewings - four radiographic images	<1%	119	$2K
D0240		<1%	104	$2K
99215	Doctor's office visit, returning patient (complex)	<1%	13	$1K
92567		<1%	62	$739.80
99213	Doctor's office visit, returning patient (routine)	<1%	14	$617.75
D0220	Intraoral - periapical first radiographic image	<1%	56	$255.60
D0340		<1%	14	$253.50
D1354		<1%	19	$220.00
D0145	Oral evaluation for a patient under three years of age	<1%	12	$210.75
92552		<1%	17	$142.40
92555		<1%	13	$105.03
D1999		<1%	80	$84.00

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 officialLONG, ROSS (EXECUTIVE DIRECTOR)