Dental
Deitrick, Paul
Deitrick, Paul was paid $77K by Medicaid between Oct 2020 and Oct 2024, across 6 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 31% of everything it billed.
33Billing provider infoDEITRICK, PAUL
VOORHEES, NJ 08043
VOORHEES, NJ 08043
33aNPI1851527600assigned 06/08/2009
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$77K
24GClaims1,164
24DCodes billed6
24AFirst – last monthOct 2020 – Oct 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in New Jersey
Rank by total paid#46 of 99
Median peer was paid$54K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2020 | 280 | $11K | |
| 2021 | 655 | $27K | |
| 2022 | 37 | $1K | |
| 2024incomplete | 192 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 31% | 444 | 430 | $24K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 25% | 109 | 84 | $20K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 18% | 55 | 53 | $14K |
| 70355 | 13% | 394 | 381 | $10K | |
| D9222 | 7.6% | 55 | 53 | $6K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.9% | 107 | 107 | $4K |
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.