Physician
Lorain County Health & Dentistry
Lorain County Health & Dentistry was paid $14.30M by Medicaid between Jan 2018 and Dec 2024, across 136 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 55% of everything it billed.
33Billing provider infoLORAIN COUNTY HEALTH & DENTISTRY
LORAIN, OH 44052
LORAIN, OH 44052
33aNPI1841238417assigned 06/03/2006
33bProvider typeOral & Maxillofacial Surgery (D.M.D.)
28Total paid$14.30M
24GClaims764,625
24DCodes billed136
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Oral & Maxillofacial Surgery (D.M.D.) providers in Ohio
Rank by total paid#1 of 9
Median peer was paid$359K
This provider vs. median40×
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 | 71,699 | $1.47M | |
| 2019 | 105,399 | $1.88M | |
| 2020 | 106,151 | $1.89M | |
| 2021 | 129,434 | $2.50M | |
| 2022 | 119,953 | $2.38M | |
| 2023 | 128,093 | $2.50M | |
| 2024incomplete | 103,896 | $1.68M |
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 | 55% | 120,918 | 92,513 | $7.88M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 71,562 | 37,147 | $1.67M |
| 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 | 4.2% | 17,932 | 10,378 | $594K |
| D0330 | Panoramic radiographic image | 2.1% | 14,066 | 10,103 | $301K |
| D1110 | Prophylaxis - adult | 1.8% | 13,047 | 9,385 | $253K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.7% | 8,100 | 4,558 | $250K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 15,921 | 11,319 | $205K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.4% | 20,455 | 14,184 | $203K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.3% | 20,516 | 6,217 | $192K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 6,469 | 3,565 | $184K |
| D1208 | Topical application of fluoride, excluding varnish | 1.1% | 23,376 | 16,857 | $164K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.0% | 14,188 | 9,819 | $146K |
124 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 12,205 | $142K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 8,701 | $135K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 4,723 | $134K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,172 | $125K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,409 | $108K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,336 | $108K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 3,531 | $105K |
| D0274 | Bitewings - four radiographic images | <1% | 11,787 | $95K |
| D1351 | Sealant - per tooth | <1% | 8,563 | $95K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,374 | $95K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 5,957 | $90K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,620 | $86K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,254 | $84K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,745 | $61K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 25,372 | $61K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,465 | $60K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 3,951 | $58K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 2,926 | $57K |
| 92341 | <1% | 1,849 | $43K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 2,998 | $40K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 17,423 | $39K |
| 81025 | <1% | 10,511 | $37K | |
| 92015 | Determination of refractive state | <1% | 8,660 | $36K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 2,291 | $33K |
| Q3014 | Telehealth originating site facility fee | <1% | 2,284 | $30K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 887 | $26K |
| 92551 | <1% | 7,771 | $20K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 392 | $20K |
| 81002 | <1% | 16,483 | $18K | |
| D0272 | Bitewings - two radiographic images | <1% | 4,967 | $18K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,644 | $16K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 507 | $16K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 480 | $13K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,256 | $13K |
| 80305 | <1% | 1,967 | $10K | |
| V2020 | Frames, purchases | <1% | 994 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 906 | $9K |
| H1000 | Prenatal care, at-risk assessment | <1% | 116 | $8K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,922 | $8K |
| 0001A | <1% | 209 | $7K | |
| 99173 | <1% | 5,369 | $7K | |
| 0002A | <1% | 196 | $6K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 154 | $6K |
| 90756 | <1% | 433 | $6K | |
| 0011A | <1% | 123 | $5K | |
| 0012A | <1% | 119 | $5K | |
| 90715 | <1% | 602 | $4K | |
| J3490 | Unclassified drugs | <1% | 183 | $3K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 59 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 712 | $3K |
| 90688 | <1% | 1,027 | $3K | |
| 0064A | <1% | 62 | $3K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 735 | $3K |
| 90670 | <1% | 1,591 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 125 | $3K |
| G0467 | Community health center visit, returning patient | <1% | 394 | $2K |
| 99383 | <1% | 95 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 35 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 99 | $2K |
| 99381 | <1% | 64 | $2K | |
| 99382 | <1% | 50 | $2K | |
| 90686 | <1% | 3,130 | $2K | |
| D2140 | <1% | 37 | $1K | |
| 97802 | <1% | 65 | $1K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 14 | $1K |
| 90651 | <1% | 1,499 | $1K | |
| 99188 | <1% | 172 | $1K | |
| 90710 | <1% | 102 | $1K | |
| 90658 | <1% | 53 | $826.78 | |
| 99384 | <1% | 14 | $784.91 | |
| 90633 | <1% | 1,270 | $614.87 | |
| 90620 | <1% | 722 | $594.93 | |
| 92133 | <1% | 60 | $480.40 | |
| 90707 | <1% | 561 | $469.64 | |
| 90734 | <1% | 1,136 | $465.34 | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 28 | $432.00 |
| 11721 | <1% | 18 | $353.34 | |
| 90680 | <1% | 433 | $311.50 | |
| 90698 | <1% | 654 | $268.50 | |
| 90716 | <1% | 615 | $245.60 | |
| 90744 | <1% | 524 | $240.00 | |
| 90700 | <1% | 316 | $184.90 | |
| 90713 | <1% | 130 | $164.64 | |
| 90685 | <1% | 209 | $163.00 | |
| 90461 | <1% | 884 | $141.75 | |
| 90697 | <1% | 45 | $132.77 | |
| 93000 | <1% | 21 | $81.90 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 25 | $80.08 |
| 90696 | <1% | 131 | $30.00 | |
| 90648 | <1% | 247 | $20.00 | |
| 3044F | <1% | 324 | $20.00 | |
| 90723 | <1% | 22 | $10.00 | |
| 91309 | <1% | 30 | $0.02 | |
| 91311 | <1% | 15 | $0.01 | |
| 91301 | <1% | 307 | $0.01 | |
| 3078F | 0% | 39,813 | $0.00 | |
| 4004F | 0% | 25,539 | $0.00 | |
| 1160F | 0% | 8,754 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 310 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 6,554 | $0.00 |
| 1159F | 0% | 8,749 | $0.00 | |
| 3050F | 0% | 129 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 16 | $0.00 |
| 3077F | 0% | 136 | $0.00 | |
| 90687 | 0% | 41 | $0.00 | |
| 91300 | 0% | 373 | $0.00 | |
| 2022F | 0% | 32 | $0.00 | |
| 90671 | 0% | 61 | $0.00 | |
| 3074F | 0% | 45,765 | $0.00 | |
| 1036F | 0% | 32,947 | $0.00 | |
| 3075F | 0% | 1,661 | $0.00 | |
| 3079F | 0% | 8,752 | $0.00 | |
| 3008F | 0% | 6,406 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 3,610 | $0.00 |
| 3048F | 0% | 1,021 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 13 | $0.00 |
| 90656 | 0% | 190 | $0.00 | |
| 3049F | 0% | 381 | $0.00 | |
| 91306 | 0% | 58 | $0.00 | |
| D0240 | 0% | 13 | $0.00 | |
| 1125F | 0% | 38 | $0.00 | |
| 2001F | 0% | 20 | $0.00 | |
| 3080F | 0% | 14 | $0.00 | |
| 4010F | 0% | 31 | $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 officialWIERSMA, STEPHANIE (PRESIDENT AND CEO)
| Provider | Location | Paid |
|---|---|---|
| Lorain County Health & Dentistry | Lorain, OH | $4.75M |
| Lorain County Health & Dentistry | Elyria, OH | $1.86M |
| Lorain County Health & Dentistry | Lorain, OH | $571K |
| Lorain County Health & Dentistry | Lorain, OH | $167K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.