Dental
Cornwall Family Dentistry, LLC
Cornwall Family Dentistry, LLC was paid $853.81 by Medicaid between May 2024 and May 2024, across 2 billing codes. Its largest line is D1120, dental cleaning, child — 62% of everything it billed.
33Billing provider infoCORNWALL FAMILY DENTISTRY, LLC
LEBANON, PA 17042
LEBANON, PA 17042
33aNPI1962868968assigned 01/06/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$853.81
24GClaims25
24DCodes billed2
24AFirst – last monthMay 2024 – May 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#768 of 847
Median peer was paid$37K
This provider vs. median0.0×
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 | 25 | $853.81 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 62% | 13 | 13 | $532.87 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 38% | 12 | 12 | $320.94 |
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 officialKOSLOWSKI, RICHARD (OWNER)