Dedola, Dean

Dedola, Dean was paid $21K by Medicaid between Dec 2020 and Apr 2021, across 11 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 26% of everything it billed.

33Billing provider infoDEDOLA, DEAN
WILKES BARRE, PA 18711

33aNPI1992174197assigned 09/17/2015

33bProvider typeGeneral Practice Dentistry

28Total paid$21K

24GClaims635

24DCodes billed11

24AFirst – last monthDec 2020 – Apr 2021

Compared with peers

Next to other General Practice Dentistry providers in Pennsylvania

Rank by total paid#493 of 847

Median peer was paid$37K

This provider vs. median0.6×

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	40	$1K
2021	595	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	26%	93	33	$5K
D1110	Prophylaxis - adult	21%	126	115	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	140	129	$3K
D7140	Extraction, erupted tooth or exposed root	13%	41	18	$3K
D0274	Bitewings - four radiographic images	11%	85	77	$2K
D1120	Dental cleaning, childProphylaxis - child	3.2%	22	17	$660.00
D1208	Topical application of fluoride, excluding varnish	3.0%	33	31	$616.32
D0330	Panoramic radiographic image	2.5%	14	13	$518.00
D9110		2.2%	14	12	$448.00
D0220	Intraoral - periapical first radiographic image	2.0%	52	50	$404.00
D0150	Comprehensive oral evaluation - new or established patient	1.5%	15	14	$301.23

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.