Dental
Pediatric Dental Associates of Hoover, LLC
Pediatric Dental Associates of Hoover, LLC was paid $159K by Medicaid between Sep 2022 and Dec 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL ASSOCIATES OF HOOVER, LLC
HOOVER, AL 35244
HOOVER, AL 35244
33aNPI1043954647assigned 04/21/2022
33bProvider typePediatric Dentist
28Total paid$159K
24GClaims7,216
24DCodes billed22
24AFirst – last monthSep 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Alabama
Rank by total paid#83 of 111
Median peer was paid$708K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2022 | 26 | $607.20 | |
| 2023 | 607 | $12K | |
| 2024incomplete | 6,583 | $147K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 880 | 830 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 1,189 | 1,133 | $24K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 1,571 | 1,474 | $23K |
| D7240 | Removal of impacted tooth - completely bony | 9.5% | 68 | 18 | $15K |
| D1110 | Prophylaxis - adult | 9.1% | 383 | 360 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.1% | 1,189 | 396 | $11K |
| D1351 | Sealant - per tooth | 4.6% | 326 | 112 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.2% | 191 | 171 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 486 | 457 | $5K |
| D0272 | Bitewings - two radiographic images | 3.0% | 265 | 248 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.8% | 52 | 37 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 144 | 133 | $4K |
10 more codes
| D9222 | 1.9% | 19 | $3K | |
| D0274 | Bitewings - four radiographic images | 1.8% | 116 | $3K |
| D0330 | Panoramic radiographic image | 1.6% | 65 | $2K |
| D1354 | 1.3% | 52 | $2K | |
| D0140 | Limited oral evaluation - problem focused | 1.0% | 56 | $2K |
| D1999 | <1% | 69 | $1K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 19 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 22 | $1K |
| D0240 | <1% | 35 | $472.50 | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 0% | 19 | $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 officialSAMUELSON, BENJAMIN (ORTHODONTIST/OWNER)