Dental
Premiere Ortho-Pedo PLLC
Premiere Ortho-Pedo PLLC was paid $21K by Medicaid between Jan 2018 and Jul 2024, across 4 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 93% of everything it billed.
33Billing provider infoPREMIERE ORTHO-PEDO PLLC
WASHINGTON, DC 20012
WASHINGTON, DC 20012
33aNPI1003234360assigned 04/03/2014
33bProvider typePediatric Dentist
28Total paid$21K
24GClaims4,443
24DCodes billed4
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Pediatric Dentist providers in District of Columbia
Rank by total paid#15 of 21
Median peer was paid$56K
This provider vs. median0.4×
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 | 1,132 | $10K | |
| 2019 | 1,083 | $7K | |
| 2020 | 406 | $2K | |
| 2021 | 478 | $375.00 | |
| 2022 | 648 | $2K | |
| 2023 | 489 | $0.00 | |
| 2024incomplete | 207 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 93% | 4,390 | 4,277 | $19K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.7% | 12 | 12 | $564.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.4% | 14 | 14 | $490.00 |
| D8660 | 2.2% | 27 | 26 | $450.00 |
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 officialNGWAFON, MARVIN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Marvin B Ngwafon DDS MFS PC | Baltimore, MD | $1.18M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.