Clinic
Tuscarora Dentistry PLLC
Tuscarora Dentistry PLLC was paid $19K by Medicaid between May 2018 and Aug 2019, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 23% of everything it billed.
33Billing provider infoTUSCARORA DENTISTRY PLLC
MARTINSBURG, WV 25403
MARTINSBURG, WV 25403
33aNPI1588178479assigned 11/30/2017
33bProvider typeDental Clinic/Center
28Total paid$19K
24GClaims1,374
24DCodes billed12
24AFirst – last monthMay 2018 – Aug 2019
Compared with peers
Next to other Dental Clinic/Center providers in West Virginia
Rank by total paid#9 of 20
Median peer was paid$16K
This provider vs. median1.2×
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 | 320 | $6K | |
| 2019 | 1,054 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 291 | 273 | $4K |
| D1206 | Topical application of fluoride varnish | 22% | 335 | 308 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 182 | 163 | $3K |
| D1110 | Prophylaxis - adult | 14% | 99 | 93 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.0% | 26 | 19 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 116 | 99 | $805.00 |
| D0330 | Panoramic radiographic image | 3.7% | 30 | 25 | $705.00 |
| D9630 | 2.7% | 145 | 127 | $500.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 89 | 71 | $470.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 20 | 14 | $420.00 |
| D0274 | Bitewings - four radiographic images | 1.1% | 19 | 19 | $205.00 |
| D0602 | 0% | 22 | 17 | $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 officialSMITH, BRANDON (MEMBER)
| Provider | Location | Paid |
|---|---|---|
| The Gardens at Tavares | Tavares, FL | $208K |
| Smith Family Chiropractic PLLC | Kiln, MS | $70K |
| Holdrege Physical Therapy and Sports Rehab | Holdrege, NE | $18K |
| Canaan Township Trustees | Creston, OH | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.