My Favorite Dental Clinic LLC

My Favorite Dental Clinic LLC was paid $9K by Medicaid between Aug 2024 and Dec 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 42% of everything it billed.

33Billing provider infoMY FAVORITE DENTAL CLINIC LLC
HORSHAM, PA 19044

33aNPI1952785743assigned 07/13/2015

33bProvider typeGeneral Practice Dentistry

28Total paid$9K

24GClaims408

24DCodes billed8

24AFirst – last monthAug 2024 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Pennsylvania

Rank by total paid#597 of 847

Median peer was paid$37K

This provider vs. median0.2×

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
2024incomplete	408	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	42%	127	121	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	109	104	$2K
D0274	Bitewings - four radiographic images	18%	67	63	$2K
D0150	Comprehensive oral evaluation - new or established patient	8.3%	35	34	$737.85
D0140	Limited oral evaluation - problem focused	3.2%	17	12	$283.50
D1206	Topical application of fluoride varnish	2.8%	13	13	$247.73
D0220	Intraoral - periapical first radiographic image	2.1%	24	22	$188.96
D0230	Intraoral - periapical each additional radiographic image	2.0%	16	15	$174.04

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 officialMA, HUIFANG (OWNER)