Dental
Tacelosky, Maria
Tacelosky, Maria was paid $176K by Medicaid between Apr 2019 and Nov 2021, across 21 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 25% of everything it billed.
33Billing provider infoTACELOSKY, MARIA
BERWICK, PA 18603
BERWICK, PA 18603
33aNPI1639292360assigned 04/09/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$176K
24GClaims5,621
24DCodes billed21
24AFirst – last monthApr 2019 – Nov 2021
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#190 of 847
Median peer was paid$37K
This provider vs. median4.8×
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 | |
|---|---|---|---|
| 2019 | 26 | $653.50 | |
| 2020 | 328 | $9K | |
| 2021 | 5,267 | $167K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 25% | 690 | 244 | $45K |
| D1110 | Prophylaxis - adult | 17% | 831 | 831 | $30K |
| D0330 | Panoramic radiographic image | 9.0% | 436 | 435 | $16K |
| D0274 | Bitewings - four radiographic images | 8.9% | 562 | 562 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.4% | 656 | 653 | $13K |
| D1351 | Sealant - per tooth | 3.7% | 263 | 44 | $7K |
| D9110 | 3.7% | 219 | 216 | $7K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.7% | 119 | 72 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 287 | 287 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 614 | 610 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 2.5% | 237 | 237 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.2% | 131 | 131 | $4K |
9 more codes
| D2332 | 2.1% | 56 | $4K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.7% | 51 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.7% | 47 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 244 | $2K |
| D2140 | 1.1% | 42 | $2K | |
| D2335 | <1% | 24 | $2K | |
| D2331 | <1% | 21 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 72 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 19 | $950.00 |
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.