Pelagio, David

Pelagio, David was paid $20K by Medicaid between Mar 2018 and Oct 2021, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.

33Billing provider infoPELAGIO, DAVID
WYOMISSING, PA 19610

33aNPI1730282757assigned 09/06/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$20K

24GClaims898

24DCodes billed8

24AFirst – last monthMar 2018 – Oct 2021

Compared with peers

Next to other General Practice Dentistry providers in Pennsylvania

Rank by total paid#494 of 847

Median peer was paid$37K

This provider vs. median0.6×

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	71	$771.80
2019	110	$2K
2020	55	$1K
2021	662	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	47%	294	292	$10K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	372	365	$7K
D0274	Bitewings - four radiographic images	8.1%	66	65	$2K
D0220	Intraoral - periapical first radiographic image	3.2%	90	83	$651.25
D0330	Panoramic radiographic image	2.9%	18	16	$589.90
D1206	Topical application of fluoride varnish	2.5%	32	31	$510.00
D1120	Dental cleaning, childProphylaxis - child	1.9%	13	13	$390.00
D9110		1.7%	13	13	$356.85

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.