Covenant Family Dentistry

Covenant Family Dentistry was paid $16K by Medicaid between Jun 2022 and Feb 2024, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 33% of everything it billed.

33Billing provider infoCOVENANT FAMILY DENTISTRY
WAYNESBORO, PA 17268

33aNPI1629561014assigned 06/11/2018

33bProvider typeGeneral Practice Dentistry

28Total paid$16K

24GClaims499

24DCodes billed9

24AFirst – last monthJun 2022 – Feb 2024

Compared with peers

Next to other General Practice Dentistry providers in Pennsylvania

Rank by total paid#525 of 847

Median peer was paid$37K

This provider vs. median0.4×

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
2022	83	$2K
2023	27	$684.00
2024incomplete	389	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	196	195	$5K
D1110	Prophylaxis - adult	18%	69	69	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	13%	24	16	$2K
D1120	Dental cleaning, childProphylaxis - child	9.4%	46	46	$2K
D1206	Topical application of fluoride varnish	6.6%	54	54	$1K
D0274	Bitewings - four radiographic images	6.1%	30	30	$986.80
D0330	Panoramic radiographic image	5.8%	17	17	$935.10
D2391	Resin-based composite - one surface, posterior, primary or permanent	5.8%	16	14	$931.00
D0601		2.9%	47	47	$470.00

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 officialZIMMERMAN, ROBERT (OWNER)