Dental
Ruby, Sara
Ruby, Sara was paid $129K by Medicaid between Jul 2018 and Aug 2022, across 14 billing codes. Its largest line is D9920, — 25% of everything it billed.
33Billing provider infoRUBY, SARA
WEXFORD, PA 15090
WEXFORD, PA 15090
33aNPI1619985322assigned 08/04/2006
33bProvider typeDentist
28Total paid$129K
24GClaims4,214
24DCodes billed14
24AFirst – last monthJul 2018 – Aug 2022
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#178 of 683
Median peer was paid$34K
This provider vs. median3.7×
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 | 63 | $2K | |
| 2019 | 457 | $11K | |
| 2020 | 617 | $18K | |
| 2021 | 3,064 | $98K | |
| 2022 | 13 | $234.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9920 | 25% | 266 | 261 | $32K | |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 717 | 713 | $22K |
| D1206 | Topical application of fluoride varnish | 14% | 1,021 | 1,017 | $18K |
| D1351 | Sealant - per tooth | 14% | 755 | 159 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 712 | 708 | $14K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.8% | 90 | 24 | $9K |
| D1110 | Prophylaxis - adult | 3.9% | 144 | 144 | $5K |
| D0272 | Bitewings - two radiographic images | 2.3% | 189 | 188 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.3% | 52 | 30 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 99 | 99 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 45 | 45 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 27 | 26 | $1K |
2 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.