Dental
Preventive Dental Services, a Professional Corporation
Preventive Dental Services, a Professional Corporation was paid $30K by Medicaid between Jun 2018 and Jun 2023, across 8 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 22% of everything it billed.
33Billing provider infoPREVENTIVE DENTAL SERVICES, A PROFESSIONAL CORPORATION
HOMER, AK 99603
HOMER, AK 99603
33aNPI1922341734assigned 03/29/2013
33bProvider typeDentist
28Total paid$30K
24GClaims660
24DCodes billed8
24AFirst – last monthJun 2018 – Jun 2023
Compared with peers
Next to other Dentist providers in Alaska
Rank by total paid#42 of 75
Median peer was paid$67K
This provider vs. median0.4×
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 | 206 | $12K | |
| 2019 | 306 | $12K | |
| 2020 | 118 | $5K | |
| 2022 | 16 | $390.88 | |
| 2023 | 14 | $342.02 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 22% | 113 | 101 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 19% | 260 | 219 | $6K |
| D0274 | Bitewings - four radiographic images | 15% | 86 | 76 | $4K |
| D1110 | Prophylaxis - adult | 13% | 50 | 45 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 98 | 81 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 21 | 14 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.7% | 19 | 12 | $2K |
| D0330 | Panoramic radiographic image | 3.5% | 13 | 12 | $1K |
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 officialPOLIS, SUSAN (DENTIST)