Dental
Lorain County Health & Dentistry
Lorain County Health & Dentistry was paid $4.75M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 64% of everything it billed.
33Billing provider infoLORAIN COUNTY HEALTH & DENTISTRY
LORAIN, OH 44055
LORAIN, OH 44055
33aNPI1598930877assigned 04/28/2008
33bProvider typeDentist
28Total paid$4.75M
24GClaims215,088
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Ohio
Rank by total paid#15 of 745
Median peer was paid$38K
This provider vs. median124×
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 | 42,496 | $821K | |
| 2019 | 36,464 | $729K | |
| 2020 | 26,096 | $574K | |
| 2021 | 29,838 | $781K | |
| 2022 | 26,363 | $708K | |
| 2023 | 27,899 | $759K | |
| 2024incomplete | 25,932 | $381K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 64% | 39,216 | 31,644 | $3.06M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 17% | 26,788 | 15,752 | $827K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 31,969 | 19,140 | $649K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 6,604 | 3,788 | $87K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,191 | 495 | $32K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,045 | 467 | $20K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 284 | 182 | $13K |
| 90756 | <1% | 805 | 477 | $9K | |
| Q3014 | Telehealth originating site facility fee | <1% | 1,089 | 619 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 948 | 550 | $9K |
| 80305 | <1% | 1,590 | 822 | $7K | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 2,086 | 1,757 | $6K |
53 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 50 | $2K |
| 90715 | <1% | 320 | $2K | |
| 90688 | <1% | 297 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 53 | $2K |
| 11721 | <1% | 125 | $2K | |
| 90837 | Psychotherapy session, about an hour | <1% | 61 | $2K |
| 90732 | <1% | 14 | $2K | |
| 90686 | <1% | 134 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 168 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 196 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 121 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 121 | $678.77 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 23 | $630.30 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 36 | $619.82 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 35 | $563.52 |
| 81025 | <1% | 177 | $528.63 | |
| 97803 | <1% | 12 | $339.66 | |
| 90658 | <1% | 14 | $304.74 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 22 | $142.60 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $114.96 |
| 81002 | <1% | 140 | $95.89 | |
| 99386 | <1% | 14 | $89.87 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 17 | $44.04 |
| 92551 | <1% | 19 | $42.86 | |
| 99173 | <1% | 28 | $19.32 | |
| 3074F | 0% | 20,302 | $0.00 | |
| 3075F | 0% | 3,691 | $0.00 | |
| 1036F | 0% | 16,895 | $0.00 | |
| 3079F | 0% | 7,005 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,332 | $0.00 |
| 3044F | 0% | 1,344 | $0.00 | |
| 2001F | 0% | 1,660 | $0.00 | |
| 3048F | 0% | 1,135 | $0.00 | |
| 4000F | 0% | 614 | $0.00 | |
| 3049F | 0% | 475 | $0.00 | |
| 4010F | 0% | 67 | $0.00 | |
| 3008F | 0% | 3,798 | $0.00 | |
| 1034F | 0% | 635 | $0.00 | |
| 3080F | 0% | 38 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 195 | $0.00 |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 34 | $0.00 |
| 3061F | 0% | 13 | $0.00 | |
| 4004F | 0% | 13,326 | $0.00 | |
| 3077F | 0% | 255 | $0.00 | |
| 3078F | 0% | 17,755 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 1,513 | $0.00 |
| 1159F | 0% | 2,852 | $0.00 | |
| 1160F | 0% | 2,853 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,222 | $0.00 |
| 3050F | 0% | 181 | $0.00 | |
| 3046F | 0% | 24 | $0.00 | |
| 3045F | 0% | 35 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 14 | $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 officialWIERSMA, STEPHANIE (PRESIDENT & CEO)
| Provider | Location | Paid |
|---|---|---|
| Lorain County Health & Dentistry | Lorain, OH | $14.30M |
| Lorain County Health & Dentistry | Elyria, OH | $1.86M |
| Lorain County Health & Dentistry | Lorain, OH | $571K |
| Lorain County Health & Dentistry | Lorain, OH | $167K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.