Clinic
Community Health Net
Community Health Net was paid $445K by Medicaid between Apr 2018 and Dec 2024, across 19 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH NET
ERIE, PA 16511
ERIE, PA 16511
33aNPI1831484922assigned 06/16/2011
33bProvider typeDental Clinic/Center
28Total paid$445K
24GClaims11,580
24DCodes billed19
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Pennsylvania
Rank by total paid#18 of 78
Median peer was paid$70K
This provider vs. median6.4×
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 | 92 | $10K | |
| 2019 | 87 | $9K | |
| 2020 | 1,572 | $58K | |
| 2021 | 6,930 | $210K | |
| 2022 | 196 | $14K | |
| 2023 | 306 | $38K | |
| 2024incomplete | 2,397 | $106K |
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 | 100% | 3,605 | 3,209 | $445K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 756 | 729 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 389 | 366 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 505 | 388 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 108 | 108 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 288 | 267 | $0.00 |
| D0602 | 0% | 178 | 159 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 497 | 482 | $0.00 |
| D0603 | 0% | 37 | 37 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 204 | 166 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 13 | 13 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 892 | 876 | $0.00 |
7 more codes
| D0220 | Intraoral - periapical first radiographic image | 0% | 1,073 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 279 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 751 | $0.00 |
| D1999 | 0% | 815 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 821 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 319 | $0.00 |
| D9110 | 0% | 50 | $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 officialULMER, CRAIG (CEO)
| Provider | Location | Paid |
|---|---|---|
| Community Health Net | Erie, PA | $7.19M |
| Community Health Net | Erie, PA | $871K |
| Community Health Net | Erie, PA | $738K |
| Community Health Net | Girard, PA | $17K |
| Community Health Net | Harborcreek, PA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.