Dental
Andryc, Kenton
Andryc, Kenton was paid $132K by Medicaid between Mar 2018 and Jan 2023, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoANDRYC, KENTON
FAIRVIEW, PA 16415
FAIRVIEW, PA 16415
33aNPI1619364353assigned 04/21/2015
33bProvider typeDentist
28Total paid$132K
24GClaims3,981
24DCodes billed15
24AFirst – last monthMar 2018 – Jan 2023
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#172 of 683
Median peer was paid$34K
This provider vs. median3.8×
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 | 39 | $764.10 | |
| 2020 | 1,070 | $37K | |
| 2021 | 2,859 | $94K | |
| 2023 | 13 | $278.75 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21% | 457 | 251 | $27K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 16% | 427 | 241 | $21K |
| D1110 | Prophylaxis - adult | 12% | 435 | 430 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.8% | 587 | 580 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.7% | 390 | 383 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 7.4% | 531 | 523 | $10K |
| D0274 | Bitewings - four radiographic images | 6.2% | 297 | 293 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.2% | 126 | 92 | $8K |
| D0330 | Panoramic radiographic image | 5.0% | 180 | 176 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 298 | 295 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 1.6% | 33 | 13 | $2K |
| D0272 | Bitewings - two radiographic images | 1.3% | 104 | 103 | $2K |
3 more codes
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.