Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Somerset Dental Associates PC

Somerset Dental Associates PC was paid $998K by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 21% of everything it billed.

33Billing provider infoSOMERSET DENTAL ASSOCIATES PC
SOMERSET, PA 15501
33aNPI1558613992assigned 10/10/2012
33bProvider typeDentist
28Total paid$998K
24GClaims25,151
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dentist providers in Pennsylvania

Rank by total paid#28 of 683
Median peer was paid$34K
This provider vs. median29×

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$50K$100K$150K2018201920202021202220232024
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
2018298$6K
2019283$6K
20204,814$194K
202111,426$523K
202312$235.65
2024incomplete8,318$268K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7140 Extraction, erupted tooth or exposed root 21% 3,070 721 $205K
D2930 Prefabricated stainless steel crown - primary tooth 13% 1,265 264 $130K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 7.6% 3,855 3,821 $76K
D1110 Prophylaxis - adult 6.8% 1,932 1,909 $68K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 6.5% 1,098 546 $65K
D1120 Dental cleaning, childProphylaxis - child 6.2% 1,985 1,968 $61K
D1351 Sealant - per tooth 5.5% 2,187 608 $55K
D1206 Topical application of fluoride varnish 5.2% 2,826 2,805 $52K
D0274 Bitewings - four radiographic images 3.3% 1,186 1,172 $33K
D7240 Removal of impacted tooth - completely bony 2.9% 138 53 $29K
D5110 2.5% 48 48 $25K
D0330 Panoramic radiographic image 2.4% 714 705 $24K
21 more codes
D5120 2.0% 38 $20K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.9% 314 $19K
D0272 Bitewings - two radiographic images 1.7% 1,067 $17K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.6% 340 $16K
D0150 Comprehensive oral evaluation - new or established patient 1.6% 792 $16K
D2390 1.6% 111 $16K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 1.2% 159 $12K
D9110 <1% 284 $9K
D1510 <1% 66 $8K
D2335 <1% 105 $7K
D7230 <1% 34 $6K
D2332 <1% 100 $6K
D0220 Intraoral - periapical first radiographic image <1% 744 $6K
D2331 <1% 101 $5K
D2330 <1% 72 $3K
D0230 Intraoral - periapical each additional radiographic image <1% 272 $3K
D2394 <1% 42 $2K
D7310 <1% 40 $1K
D1208 Topical application of fluoride, excluding varnish <1% 99 $1K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 27 $1K
D1999 <1% 40 $273.00

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 officialHAJEL, DAVID (DAVIS A HAJEL DMD)