Dental
Delaware Pediatric Dentistry
Delaware Pediatric Dentistry was paid $18.08M by Medicaid between Oct 2019 and Dec 2024, across 43 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 16% of everything it billed.
33Billing provider infoDELAWARE PEDIATRIC DENTISTRY
MILFORD, DE 19963
MILFORD, DE 19963
33aNPI1063971745assigned 03/13/2019
33bProvider typePediatric Dentist
28Total paid$18.08M
24GClaims299,872
24DCodes billed43
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Delaware
Rank by total paid#1 of 18
Median peer was paid$1.14M
This provider vs. median16×
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 | 3,429 | $141K | |
| 2020 | 28,093 | $1.67M | |
| 2021 | 42,624 | $2.56M | |
| 2022 | 62,905 | $3.70M | |
| 2023 | 69,966 | $4.22M | |
| 2024incomplete | 92,855 | $5.78M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 16% | 10,079 | 4,271 | $2.84M |
| D1351 | Sealant - per tooth | 11% | 44,034 | 8,651 | $1.93M |
| D1120 | Dental cleaning, childProphylaxis - child | 8.4% | 27,831 | 27,449 | $1.52M |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.8% | 6,178 | 3,436 | $1.23M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.7% | 4,818 | 2,702 | $1.20M |
| D7140 | Extraction, erupted tooth or exposed root | 6.5% | 6,774 | 3,179 | $1.17M |
| D1206 | Topical application of fluoride varnish | 6.0% | 33,453 | 32,943 | $1.08M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.6% | 23,405 | 23,009 | $1.02M |
| D0240 | 4.3% | 24,896 | 12,616 | $775K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 10,158 | 9,149 | $661K |
| D2940 | 3.6% | 4,656 | 1,838 | $643K | |
| D1110 | Prophylaxis - adult | 2.5% | 6,861 | 6,748 | $453K |
31 more codes
| D0272 | Bitewings - two radiographic images | 2.5% | 12,376 | $450K |
| D0330 | Panoramic radiographic image | 2.3% | 5,029 | $407K |
| D2390 | 2.1% | 810 | $375K | |
| D2330 | 1.5% | 1,496 | $263K | |
| D9920 | 1.3% | 1,669 | $240K | |
| D0274 | Bitewings - four radiographic images | 1.3% | 4,429 | $229K |
| D1354 | 1.2% | 3,661 | $215K | |
| D0160 | 1.0% | 1,695 | $184K | |
| D0170 | 1.0% | 3,138 | $182K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,888 | $176K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 7,921 | $171K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 6,471 | $160K |
| D0350 | <1% | 3,871 | $153K | |
| D2331 | <1% | 423 | $94K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 241 | $81K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 780 | $45K |
| D3120 | <1% | 374 | $31K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 313 | $20K |
| D7962 | <1% | 88 | $17K | |
| D1510 | <1% | 80 | $13K | |
| D2950 | <1% | 48 | $12K | |
| D7961 | <1% | 52 | $10K | |
| D7960 | <1% | 124 | $6K | |
| D2332 | <1% | 21 | $6K | |
| D0270 | <1% | 274 | $5K | |
| D9440 | <1% | 36 | $5K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 28 | $3K |
| D0603 | 0% | 38,217 | $0.00 | |
| D9995 | 0% | 74 | $0.00 | |
| D9996 | 0% | 74 | $0.00 | |
| D1999 | 0% | 28 | $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 officialMARTINEZ, GERARDO (PEDIATRIC DENTIST)