Clinic
TLC Dental Services
TLC Dental Services was paid $121K by Medicaid between Oct 2020 and Dec 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 33% of everything it billed.
33Billing provider infoTLC DENTAL SERVICES
SCRANTON, PA 18505
SCRANTON, PA 18505
33aNPI1932536273assigned 10/01/2013
33bProvider typeDental Clinic/Center
28Total paid$121K
24GClaims4,682
24DCodes billed14
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Pennsylvania
Rank by total paid#33 of 78
Median peer was paid$70K
This provider vs. median1.7×
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 | 366 | $14K | |
| 2021 | 1,475 | $44K | |
| 2024incomplete | 2,841 | $62K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 33% | 1,105 | 1,091 | $39K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 337 | 227 | $20K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 941 | 930 | $19K |
| D0274 | Bitewings - four radiographic images | 5.8% | 255 | 244 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 5.4% | 147 | 146 | $7K |
| D1330 | 5.1% | 641 | 637 | $6K | |
| D1310 | 5.0% | 640 | 636 | $6K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 221 | 218 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.4% | 84 | 51 | $4K |
| D1206 | Topical application of fluoride varnish | 2.6% | 173 | 165 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.6% | 31 | 25 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.2% | 50 | 49 | $2K |
2 more codes
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 officialCASEY, TRACY-LYN (RDH/OWNER)