Dental
Lorain County Health & Dentistry
Lorain County Health & Dentistry was paid $2.28M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 81% of everything it billed.
33Billing provider infoLORAIN COUNTY HEALTH & DENTISTRY
OBERLIN, OH 44074
OBERLIN, OH 44074
33aNPI1821464306assigned 08/19/2015
33bProvider typeDentist
28Total paid$2.28M
24GClaims94,801
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Ohio
Rank by total paid#50 of 745
Median peer was paid$38K
This provider vs. median59×
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 | 8,446 | $207K | |
| 2019 | 14,535 | $321K | |
| 2020 | 20,092 | $436K | |
| 2021 | 16,274 | $423K | |
| 2022 | 13,211 | $364K | |
| 2023 | 14,749 | $392K | |
| 2024incomplete | 7,494 | $134K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 81% | 23,709 | 19,077 | $1.85M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.5% | 5,854 | 3,218 | $125K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.8% | 1,299 | 795 | $41K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 2,690 | 1,346 | $35K |
| D0330 | Panoramic radiographic image | 1.2% | 3,083 | 2,834 | $28K |
| D1351 | Sealant - per tooth | <1% | 1,187 | 368 | $22K |
| D1110 | Prophylaxis - adult | <1% | 3,758 | 3,468 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 3,080 | 2,805 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,570 | 1,181 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 4,739 | 4,367 | $16K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,431 | 1,121 | $15K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 2,381 | 2,214 | $12K |
45 more codes
| D1208 | Topical application of fluoride, excluding varnish | <1% | 4,740 | $12K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,779 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 430 | $12K |
| D0274 | Bitewings - four radiographic images | <1% | 3,181 | $7K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 6,879 | $5K |
| D2140 | <1% | 80 | $3K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 5,519 | $3K |
| Q3014 | Telehealth originating site facility fee | <1% | 776 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 140 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 358 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 50 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 940 | $2K |
| V2020 | Frames, purchases | <1% | 80 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 53 | $1K |
| 90756 | <1% | 69 | $932.12 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 90 | $864.54 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 44 | $780.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 100 | $759.75 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 21 | $678.29 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 25 | $540.48 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 27 | $506.09 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 12 | $414.70 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 30 | $377.00 |
| 92015 | Determination of refractive state | <1% | 60 | $374.94 |
| 92551 | <1% | 123 | $327.04 | |
| 90688 | <1% | 23 | $202.10 | |
| 90686 | <1% | 21 | $141.96 | |
| 99173 | <1% | 59 | $65.54 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 181 | $0.00 |
| 3074F | 0% | 3,134 | $0.00 | |
| 3079F | 0% | 761 | $0.00 | |
| 1036F | 0% | 2,634 | $0.00 | |
| 3008F | 0% | 594 | $0.00 | |
| 3075F | 0% | 67 | $0.00 | |
| 2001F | 0% | 101 | $0.00 | |
| 3048F | 0% | 128 | $0.00 | |
| 1034F | 0% | 27 | $0.00 | |
| 4000F | 0% | 14 | $0.00 | |
| 4004F | 0% | 1,303 | $0.00 | |
| 3078F | 0% | 2,635 | $0.00 | |
| 1159F | 0% | 607 | $0.00 | |
| 1160F | 0% | 607 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 440 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 64 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 14 | $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 officialHEMKER, LISA (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Lorain County Health & Dentistry | Elyria, OH | $4.76M |
| Lorain County Health & Dentistry | Lorain, OH | $30K |
| Lorain County Health & Dentistry | North Ridgeville, OH | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.