Dental
Charles K. Dematte DDS INC
Charles K. Dematte DDS INC was paid $47K by Medicaid between Jan 2018 and Sep 2022, across 10 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 23% of everything it billed.
33Billing provider infoCHARLES K. DEMATTE DDS INC
BRIDGEPORT, OH 43912
BRIDGEPORT, OH 43912
33aNPI1801050968assigned 07/17/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$47K
24GClaims1,912
24DCodes billed10
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other General Practice Dentistry providers in Ohio
Rank by total paid#421 of 870
Median peer was paid$40K
This provider vs. median1.2×
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 | 1,246 | $33K | |
| 2019 | 382 | $8K | |
| 2021 | 77 | $2K | |
| 2022 | 207 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 23% | 196 | 84 | $11K |
| D1110 | Prophylaxis - adult | 22% | 289 | 289 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 509 | 509 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 374 | 374 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.1% | 181 | 181 | $4K |
| D0274 | Bitewings - four radiographic images | 6.8% | 147 | 147 | $3K |
| D0140 | Limited oral evaluation - problem focused | 4.2% | 83 | 79 | $2K |
| D0272 | Bitewings - two radiographic images | 2.2% | 94 | 94 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 14 | 14 | $368.90 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 25 | 25 | $135.00 |
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 officialDEMATTE, CHARLES (OWNER)