Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Ohip PA

Ohip PA was paid $2.12M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is D1351, Sealant - per tooth — 28% of everything it billed.

33Billing provider infoOHIP PA
PIPERSVILLE, PA 18947
33aNPI1629307657assigned 12/22/2009
33bProvider typeDentist
28Total paid$2.12M
24GClaims75,972
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Dentist providers in Pennsylvania

Rank by total paid#9 of 683
Median peer was paid$34K
This provider vs. median62×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201821,049$613K
201930,605$893K
20204,214$117K
2021391$9K
20228,574$223K
202310,164$240K
2024incomplete975$25K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1351 Sealant - per tooth 28% 18,538 4,588 $599K
D1120 Dental cleaning, childProphylaxis - child 17% 8,474 8,238 $352K
D1206 Topical application of fluoride varnish 16% 14,185 13,779 $343K
D0150 Comprehensive oral evaluation - new or established patient 11% 4,641 4,540 $237K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 8.5% 6,368 6,172 $180K
D2391 Resin-based composite - one surface, posterior, primary or permanent 5.5% 1,274 678 $116K
D0272 Bitewings - two radiographic images 3.9% 5,593 5,436 $82K
D0274 Bitewings - four radiographic images 2.3% 2,269 2,197 $49K
D1330 2.2% 8,038 7,793 $47K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.9% 340 240 $40K
D0220 Intraoral - periapical first radiographic image 1.2% 2,947 2,792 $26K
D0230 Intraoral - periapical each additional radiographic image <1% 2,671 2,519 $20K
5 more codes
D1208 Topical application of fluoride, excluding varnish <1% 391 $9K
D2330 <1% 66 $6K
D1110 Prophylaxis - adult <1% 87 $5K
D2331 <1% 43 $4K
D2335 <1% 47 $4K

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 officialCAPLIN, LAWRENCE (CEO)
Same official

Other billing entities under CAPLIN, LAWRENCE

Full network →
ProviderLocationPaid
Oral Health Impact Project Pennsylvania, PCPipersville, PA$194K
Oral Health Impact Project New Jersey,paWarrington, PA$135K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.