Managed care
Bristol Dental Group
Bristol Dental Group was paid $72K by Medicaid between Mar 2021 and Dec 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.
33Billing provider infoBRISTOL DENTAL GROUP
BRISTOL, PA 19007
BRISTOL, PA 19007
33aNPI1619330552assigned 03/29/2016
33bProvider typePreferred Provider Organization
28Total paid$72K
24GClaims2,322
24DCodes billed15
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers
Next to other Preferred Provider Organization providers in Pennsylvania
Rank by total paid#3 of 6
Median peer was paid$10K
This provider vs. median7.4×
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 | |
|---|---|---|---|
| 2021 | 57 | $2K | |
| 2024incomplete | 2,265 | $70K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 23% | 502 | 480 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 138 | 91 | $10K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 13% | 51 | 28 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.9% | 392 | 380 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.1% | 337 | 322 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 8.6% | 142 | 141 | $6K |
| D0274 | Bitewings - four radiographic images | 8.3% | 252 | 245 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.9% | 82 | 60 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 2.0% | 89 | 85 | $1K |
| D0330 | Panoramic radiographic image | 1.6% | 32 | 32 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.5% | 59 | 53 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 81 | 78 | $557.66 |
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 officialVIRON, ARKADIY (OWNER)