Pediatric Dental Care of Wilmington, LLC

Pediatric Dental Care of Wilmington, LLC was paid $35K by Medicaid between Dec 2019 and Jun 2021, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 43% of everything it billed.

33Billing provider infoPEDIATRIC DENTAL CARE OF WILMINGTON, LLC
WILMINGTON, MA 01887

33aNPI1033515549assigned 11/10/2014

33bProvider typePediatric Dentist

28Total paid$35K

24GClaims1,248

24DCodes billed5

24AFirst – last monthDec 2019 – Jun 2021

Compared with peers

Next to other Pediatric Dentist providers in Massachusetts

Rank by total paid#121 of 144

Median peer was paid$511K

This provider vs. median0.1×

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
2019	52	$2K
2020	661	$19K
2021	535	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	43%	352	339	$15K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	397	381	$10K
D1206	Topical application of fluoride varnish	26%	417	399	$9K
D0272	Bitewings - two radiographic images	3.0%	46	44	$1K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	1.7%	36	30	$588.00

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 officialGABRILOWITZ, MARCY (OWNER)