Dental
Pediatric Dentistry, LTD.
Pediatric Dentistry, LTD. was paid $4K by Medicaid between Jan 2019 and Jun 2023, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 57% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY, LTD.
CRANSTON, RI 02920
CRANSTON, RI 02920
33aNPI1063545143assigned 03/14/2007
33bProvider typePediatric Dentist
28Total paid$4K
24GClaims142
24DCodes billed3
24AFirst – last monthJan 2019 – Jun 2023
Compared with peers
Next to other Pediatric Dentist providers in Rhode Island
Rank by total paid#29 of 29
Median peer was paid$643K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 36 | $696.00 | |
| 2022 | 80 | $2K | |
| 2023 | 26 | $888.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 57% | 53 | 52 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 22% | 37 | 36 | $780.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 52 | 51 | $754.00 |
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 officialLASSER, STEVEN (PEDIATRIC DENTIST)