Clinic
Oak Orchard Community Health Center, INC.
Oak Orchard Community Health Center, INC. was paid $793K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.
33Billing provider infoOAK ORCHARD COMMUNITY HEALTH CENTER, INC.
HORNELL, NY 14843
HORNELL, NY 14843
33aNPI1740645324assigned 12/23/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$793K
24GClaims21,819
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New York
Rank by total paid#95 of 158
Median peer was paid$1.73M
This provider vs. median0.5×
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 | 2,038 | $72K | |
| 2019 | 2,461 | $78K | |
| 2020 | 2,680 | $83K | |
| 2021 | 3,863 | $145K | |
| 2022 | 3,497 | $147K | |
| 2023 | 5,074 | $203K | |
| 2024incomplete | 2,206 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 35% | 5,640 | 3,724 | $281K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 4,457 | 4,043 | $138K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 2,563 | 1,925 | $99K |
| D0330 | Panoramic radiographic image | 9.2% | 2,056 | 1,441 | $73K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.5% | 1,275 | 964 | $36K |
| D0140 | Limited oral evaluation - problem focused | 4.1% | 1,383 | 1,205 | $33K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 472 | 348 | $31K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.3% | 278 | 221 | $26K |
| D1208 | Topical application of fluoride, excluding varnish | 2.7% | 1,537 | 1,537 | $21K |
| D0274 | Bitewings - four radiographic images | 2.3% | 620 | 610 | $18K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 200 | 186 | $11K |
| D0272 | Bitewings - two radiographic images | <1% | 362 | 358 | $6K |
9 more codes
| D1206 | Topical application of fluoride varnish | <1% | 180 | $5K |
| D5899 | <1% | 32 | $5K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 293 | $4K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 203 | $4K |
| D9995 | <1% | 83 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 12 | $1K |
| D0270 | <1% | 14 | $196.00 | |
| D0190 | 0% | 112 | $0.00 | |
| D4999 | 0% | 47 | $0.00 |
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 officialPETTIBON, MARY ANN (CEO)
Parent organizationOAK ORCHARD COMMUNITY HEALTH CENTER, INC.
| Provider | Location | Paid |
|---|---|---|
| Oak Orchard Community Health Center, INC. | Hornell, NY | $384K |
| Oak Orchard Community Health Center, INC. | Albion, NY | $333K |
| Oak Orchard Community Health Center, INC. | Lyndonville, NY | $328.79 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.