Dental
Quality Plan Administrators, INC
Quality Plan Administrators, INC was paid $2.56M by Medicaid between Jan 2018 and Dec 2020, across 37 billing codes. Its largest line is D2750, — 9.5% of everything it billed.
33Billing provider infoQUALITY PLAN ADMINISTRATORS, INC
WASHINGTON, DC 20012
WASHINGTON, DC 20012
33aNPI1619155157assigned 02/06/2008
33bProvider typeDentist
28Total paid$2.56M
24GClaims39,231
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Dentist providers in District of Columbia
Rank by total paid#3 of 66
Median peer was paid$30K
This provider vs. median87×
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 | 19,533 | $1.47M | |
| 2019 | 13,775 | $767K | |
| 2020 | 5,923 | $326K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2750 | 9.5% | 556 | 319 | $243K | |
| D1110 | Prophylaxis - adult | 9.3% | 3,588 | 3,460 | $238K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 8.4% | 1,566 | 663 | $214K |
| D7140 | Extraction, erupted tooth or exposed root | 8.3% | 2,549 | 1,083 | $211K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.9% | 1,577 | 720 | $151K |
| D0140 | Limited oral evaluation - problem focused | 5.8% | 3,589 | 3,272 | $149K |
| D0330 | Panoramic radiographic image | 5.7% | 2,302 | 2,169 | $147K |
| D4341 | 5.4% | 1,043 | 360 | $138K | |
| D6010 | 5.2% | 224 | 89 | $134K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.6% | 3,813 | 3,679 | $118K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 1,347 | 595 | $96K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 1,434 | 1,381 | $88K |
25 more codes
| D1208 | Topical application of fluoride, excluding varnish | 2.7% | 2,881 | $69K |
| D9310 | 2.4% | 693 | $62K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.3% | 470 | $60K |
| D0274 | Bitewings - four radiographic images | 2.2% | 1,597 | $55K |
| D1120 | Dental cleaning, child | 1.7% | 1,009 | $44K |
| D7250 | 1.3% | 146 | $34K | |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 2,315 | $33K |
| D1351 | Sealant - per tooth | 1.1% | 842 | $29K |
| D0272 | Bitewings - two radiographic images | 1.0% | 793 | $26K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,212 | $25K |
| D4910 | <1% | 349 | $23K | |
| D2394 | <1% | 161 | $23K | |
| D1206 | Topical application of fluoride varnish | <1% | 774 | $21K |
| D4355 | <1% | 221 | $20K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 246 | $17K |
| D9110 | <1% | 243 | $16K | |
| D2335 | <1% | 117 | $16K | |
| D4210 | <1% | 56 | $15K | |
| D2332 | <1% | 103 | $14K | |
| D6056 | <1% | 35 | $10K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 209 | $9K |
| D0340 | <1% | 45 | $4K | |
| D0350 | <1% | 76 | $4K | |
| D2330 | <1% | 38 | $3K | |
| D0270 | <1% | 12 | $242.00 |
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 officialBERNARD, MILTON (PRESIDENT)