Clinic
Dental Professionals Cleveland-Nouneh, INC.
Dental Professionals Cleveland-Nouneh, INC. was paid $1.10M by Medicaid between Jan 2018 and Aug 2024, across 26 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 12% of everything it billed.
33Billing provider infoDENTAL PROFESSIONALS CLEVELAND-NOUNEH, INC.
SANDUSKY, OH 44870
SANDUSKY, OH 44870
33aNPI1962687616assigned 12/31/2007
33bProvider typeDental Clinic/Center
28Total paid$1.10M
24GClaims37,306
24DCodes billed26
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Dental Clinic/Center providers in Ohio
Rank by total paid#30 of 111
Median peer was paid$236K
This provider vs. median4.7×
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 | |
|---|---|---|---|
| 2018 | 5,330 | $134K | |
| 2019 | 2,670 | $73K | |
| 2020 | 8,504 | $275K | |
| 2021 | 9,636 | $289K | |
| 2022 | 6,131 | $157K | |
| 2023 | 4,351 | $132K | |
| 2024incomplete | 684 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 12% | 2,295 | 700 | $131K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 1,227 | 317 | $130K |
| D0330 | Panoramic radiographic image | 11% | 2,524 | 2,263 | $124K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 5,579 | 5,025 | $118K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.5% | 5,904 | 5,370 | $105K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.2% | 3,295 | 2,934 | $90K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.4% | 1,232 | 615 | $71K |
| D1206 | Topical application of fluoride varnish | 5.8% | 4,035 | 3,918 | $64K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.1% | 1,041 | 438 | $56K |
| D1110 | Prophylaxis - adult | 4.4% | 1,342 | 1,261 | $48K |
| D0272 | Bitewings - two radiographic images | 3.2% | 3,355 | 3,029 | $35K |
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 1,700 | 1,260 | $27K |
14 more codes
| D0274 | Bitewings - four radiographic images | 1.8% | 962 | $20K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.6% | 307 | $17K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.5% | 245 | $16K |
| D2140 | <1% | 227 | $9K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 309 | $7K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 98 | $7K |
| D0240 | <1% | 483 | $6K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 82 | $5K |
| D2160 | <1% | 54 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 685 | $3K |
| D1351 | Sealant - per tooth | <1% | 97 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 27 | $2K |
| D2331 | <1% | 17 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 184 | $929.25 |
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 officialULICHNEY, DIANE (CREDENTIALING MANAGER)
Parent organizationDENTAL PROFESSIONAL CLEVELAND-NOUNEH, INC.
| Provider | Location | Paid |
|---|---|---|
| Dental Professionals Cleveland-Nouneh, INC | Canton, OH | $2.55M |
| Dental Professionals Cleveland-Nouneh, INC. | Parma Heights, OH | $1.84M |
| Dental Professionals Cleveland-Nouneh, INC. | Lorain, OH | $535K |
| Dental Professionals Cleveland-Nouneh,inc. | Elyria, OH | $498K |
| Dental Professionals Cleveland-Nouneh, INC. | Mentor, OH | $244K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.