Dental
Pediatric Dental Services
Pediatric Dental Services was paid $31K by Medicaid between Jun 2019 and Dec 2022, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 89% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL SERVICES
SUNRISE, FL 33313
SUNRISE, FL 33313
33aNPI1043360621assigned 01/12/2007
33bProvider typePediatric Dentist
28Total paid$31K
24GClaims2,971
24DCodes billed10
24AFirst – last monthJun 2019 – Dec 2022
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#168 of 246
Median peer was paid$107K
This provider vs. median0.3×
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 | 289 | $1K | |
| 2020 | 645 | $11K | |
| 2021 | 185 | $1K | |
| 2022 | 1,852 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 89% | 507 | 501 | $27K |
| D1110 | Prophylaxis - adult | 7.3% | 77 | 77 | $2K |
| D0330 | Panoramic radiographic image | 4.2% | 15 | 13 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 603 | 597 | $0.00 |
| D1330 | 0% | 594 | 586 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 74 | 72 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 255 | 127 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 289 | 287 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 216 | 213 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 341 | 336 | $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 officialKOERNER, OLGA (OFFICE MANAGER)