Dental
Tender Care Pediatric Dentistry LLC
Tender Care Pediatric Dentistry LLC was paid $978K by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is D1120, dental cleaning, child — 12% of everything it billed.
33Billing provider infoTENDER CARE PEDIATRIC DENTISTRY LLC
MOUNT PLEASANT, PA 15666
MOUNT PLEASANT, PA 15666
33aNPI1043339476assigned 03/28/2007
33bProvider typePediatric Dentist
28Total paid$978K
24GClaims26,721
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#19 of 237
Median peer was paid$109K
This provider vs. median9.0×
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 | |
|---|---|---|---|
| 2018 | 51 | $1K | |
| 2019 | 28 | $579.03 | |
| 2021 | 9,570 | $310K | |
| 2022 | 296 | $7K | |
| 2023 | 364 | $10K | |
| 2024incomplete | 16,412 | $649K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 4,041 | 4,033 | $122K |
| D8670 | Periodic orthodontic treatment visit | 12% | 339 | 337 | $119K |
| D1206 | Topical application of fluoride varnish | 9.9% | 5,512 | 5,501 | $97K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.9% | 4,357 | 4,344 | $87K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.0% | 1,252 | 799 | $78K |
| D1110 | Prophylaxis - adult | 6.2% | 1,656 | 1,653 | $61K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.8% | 1,128 | 789 | $57K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 5.5% | 720 | 275 | $54K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 4.8% | 125 | 125 | $47K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.7% | 455 | 202 | $46K |
| D7140 | Extraction, erupted tooth or exposed root | 4.7% | 721 | 416 | $46K |
| D0251 | 3.3% | 2,101 | 1,981 | $33K |
18 more codes
| D1351 | Sealant - per tooth | 3.3% | 1,305 | $32K |
| D0330 | Panoramic radiographic image | 2.2% | 523 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 953 | $20K |
| D9222 | 1.5% | 125 | $15K | |
| D2933 | 1.0% | 68 | $10K | |
| D2331 | <1% | 124 | $8K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 109 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 83 | $6K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 401 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 170 | $3K |
| D0240 | <1% | 117 | $3K | |
| D2330 | <1% | 23 | $1K | |
| D1330 | <1% | 99 | $1K | |
| D1310 | <1% | 99 | $1K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 39 | $729.69 |
| D8660 | <1% | 12 | $420.00 | |
| D0340 | <1% | 16 | $256.80 | |
| D9995 | 0% | 48 | $0.00 |
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 officialDE LA ROCHE, BEATRIZ (OWNER)