Dental
Bournias/Cervone/Derlink Dental & Associates, LLC
Bournias/Cervone/Derlink Dental & Associates, LLC was paid $14K by Medicaid between Jan 2018 and Jan 2023, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 45% of everything it billed.
33Billing provider infoBOURNIAS/CERVONE/DERLINK DENTAL & ASSOCIATES, LLC
MEADVILLE, PA 16335
MEADVILLE, PA 16335
33aNPI1750346805assigned 04/20/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$14K
24GClaims584
24DCodes billed5
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#541 of 847
Median peer was paid$37K
This provider vs. median0.4×
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 | 100 | $2K | |
| 2019 | 118 | $3K | |
| 2021 | 338 | $8K | |
| 2023 | 28 | $537.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 45% | 320 | 320 | $6K |
| D1110 | Prophylaxis - adult | 35% | 141 | 141 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.6% | 44 | 44 | $1K |
| D1206 | Topical application of fluoride varnish | 8.6% | 67 | 67 | $1K |
| D0274 | Bitewings - four radiographic images | 2.4% | 12 | 12 | $333.45 |
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 officialCERVONE, JOSEPH (OWNER)