Dental
Rutherford, Clinton
Rutherford, Clinton was paid $1.51M by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is D1351, Sealant - per tooth — 19% of everything it billed.
33Billing provider infoRUTHERFORD, CLINTON
PHILADELPHIA, PA 19149
PHILADELPHIA, PA 19149
33aNPI1740274174assigned 08/31/2005
33bProvider typePediatric Dentist
28Total paid$1.51M
24GClaims54,370
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#12 of 237
Median peer was paid$109K
This provider vs. median14×
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 | 530 | $11K | |
| 2019 | 49 | $962.90 | |
| 2020 | 8,394 | $236K | |
| 2021 | 44,164 | $1.24M | |
| 2022 | 121 | $3K | |
| 2023 | 207 | $5K | |
| 2024incomplete | 905 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 19% | 10,017 | 2,410 | $289K |
| D1206 | Topical application of fluoride varnish | 8.7% | 6,311 | 6,265 | $132K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.2% | 5,382 | 5,363 | $125K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.1% | 4,513 | 4,497 | $123K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.8% | 2,056 | 2,009 | $102K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.6% | 1,531 | 952 | $100K |
| D1110 | Prophylaxis - adult | 6.4% | 2,412 | 2,412 | $97K |
| D0274 | Bitewings - four radiographic images | 5.4% | 2,471 | 2,469 | $81K |
| D7140 | Extraction, erupted tooth or exposed root | 4.9% | 976 | 619 | $74K |
| D0272 | Bitewings - two radiographic images | 4.1% | 3,279 | 3,270 | $62K |
| D0330 | Panoramic radiographic image | 3.6% | 1,263 | 1,261 | $55K |
| D2160 | 3.3% | 659 | 513 | $51K |
19 more codes
| D2335 | 2.3% | 434 | $34K | |
| D1330 | 1.7% | 5,231 | $26K | |
| D2161 | 1.5% | 301 | $23K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.3% | 178 | $19K |
| D0603 | 1.2% | 1,845 | $18K | |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 1,610 | $15K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 154 | $14K |
| D2140 | <1% | 258 | $14K | |
| D0601 | <1% | 1,186 | $12K | |
| D2332 | <1% | 149 | $11K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 364 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 735 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 445 | $8K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 305 | $7K |
| D1510 | <1% | 14 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 34 | $2K |
| D1320 | <1% | 100 | $2K | |
| D0602 | <1% | 144 | $1K | |
| D9110 | <1% | 13 | $473.82 |
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.