Dental
Petricoin, Dennis
Petricoin, Dennis was paid $12K by Medicaid between Nov 2020 and Nov 2021, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoPETRICOIN, DENNIS
WYOMISSING, PA 19610
WYOMISSING, PA 19610
33aNPI1588770176assigned 08/23/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$12K
24GClaims619
24DCodes billed10
24AFirst – last monthNov 2020 – Nov 2021
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#555 of 847
Median peer was paid$37K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2020 | 37 | $882.00 | |
| 2021 | 582 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 105 | 105 | $3K |
| D1351 | Sealant - per tooth | 25% | 124 | 22 | $3K |
| D1206 | Topical application of fluoride varnish | 18% | 128 | 128 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.3% | 52 | 52 | $1K |
| D0272 | Bitewings - two radiographic images | 5.4% | 44 | 44 | $672.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.6% | 29 | 29 | $580.00 |
| D1110 | Prophylaxis - adult | 4.0% | 14 | 14 | $504.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 3.3% | 62 | 47 | $408.00 |
| D0274 | Bitewings - four radiographic images | 2.9% | 14 | 14 | $364.00 |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 47 | 47 | $360.00 |
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.