Plastow, Jerome

Plastow, Jerome was paid $20K by Medicaid between Jan 2021 and Nov 2021, across 8 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 54% of everything it billed.

33Billing provider infoPLASTOW, JEROME
DUSHORE, PA 18614

33aNPI1841221496assigned 07/05/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$20K

24GClaims465

24DCodes billed8

24AFirst – last monthJan 2021 – Nov 2021

Compared with peers

Next to other General Practice Dentistry providers in Pennsylvania

Rank by total paid#498 of 847

Median peer was paid$37K

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
2021	465	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7140	Extraction, erupted tooth or exposed root	54%	164	61	$11K
D0150	Comprehensive oral evaluation - new or established patient	16%	158	158	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	11%	36	25	$2K
D0330	Panoramic radiographic image	6.1%	33	33	$1K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	5.2%	16	13	$1K
D1110	Prophylaxis - adult	4.3%	24	24	$864.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.1%	21	21	$420.00
D0274	Bitewings - four radiographic images	1.8%	13	13	$361.45

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.