Dental
Greater Owensboro Pediatric Dentistry, INC
Greater Owensboro Pediatric Dentistry, INC was paid $742K by Medicaid between Jan 2023 and Dec 2024, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoGREATER OWENSBORO PEDIATRIC DENTISTRY, INC
OWENSBORO, KY 42303
OWENSBORO, KY 42303
33aNPI1013676758assigned 12/09/2021
33bProvider typePediatric Dentist
28Total paid$742K
24GClaims21,284
24DCodes billed16
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Kentucky
Rank by total paid#53 of 134
Median peer was paid$467K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2023 | 9,790 | $333K | |
| 2024incomplete | 11,494 | $408K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 3,534 | 3,482 | $191K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 2,465 | 2,441 | $78K |
| D1206 | Topical application of fluoride varnish | 9.9% | 4,348 | 4,282 | $74K |
| D7140 | Extraction, erupted tooth or exposed root | 8.4% | 906 | 412 | $62K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.6% | 981 | 524 | $56K |
| D1110 | Prophylaxis - adult | 5.9% | 863 | 846 | $44K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.6% | 1,970 | 1,925 | $42K |
| D0330 | Panoramic radiographic image | 5.3% | 585 | 577 | $40K |
| D0272 | Bitewings - two radiographic images | 4.5% | 1,604 | 1,579 | $33K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.1% | 862 | 842 | $30K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 555 | 352 | $26K |
| D1351 | Sealant - per tooth | 3.2% | 1,214 | 354 | $24K |
4 more codes
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 officialDICKENS, BLAKE (PRESIDENT)