Dental
Dentica, INC.
Dentica, INC. was paid $5K by Medicaid between Oct 2020 and Mar 2021, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 38% of everything it billed.
33Billing provider infoDENTICA, INC.
CANONSBURG, PA 15317
CANONSBURG, PA 15317
33aNPI1730364241assigned 01/02/2008
33bProvider typePeriodontist
28Total paid$5K
24GClaims303
24DCodes billed5
24AFirst – last monthOct 2020 – Mar 2021
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 | |
|---|---|---|---|
| 2020 | 136 | $2K | |
| 2021 | 167 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 38% | 120 | 120 | $2K |
| D1206 | Topical application of fluoride varnish | 26% | 86 | 86 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 31 | 31 | $900.00 |
| D0272 | Bitewings - two radiographic images | 13% | 54 | 54 | $736.00 |
| D1110 | Prophylaxis - adult | 6.6% | 12 | 12 | $360.00 |
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 officialGOLDSMITH, JAMES (DENTIST)