Dental
Coastkids Pediatric Dentistry, PLLC
Coastkids Pediatric Dentistry, PLLC was paid $2.20M by Medicaid between Feb 2018 and Dec 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoCOASTKIDS PEDIATRIC DENTISTRY, PLLC
GULFPORT, MS 39507
GULFPORT, MS 39507
33aNPI1093262974assigned 09/08/2016
33bProvider typePediatric Dentist
28Total paid$2.20M
24GClaims72,007
24DCodes billed23
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Mississippi
Rank by total paid#16 of 81
Median peer was paid$580K
This provider vs. median3.8×
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 | 2,068 | $21K | |
| 2019 | 1,539 | $36K | |
| 2020 | 4,327 | $96K | |
| 2021 | 17,119 | $514K | |
| 2022 | 20,090 | $625K | |
| 2023 | 17,271 | $586K | |
| 2024incomplete | 9,593 | $323K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 13,602 | 12,933 | $399K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 11,324 | 10,870 | $308K |
| D1206 | Topical application of fluoride varnish | 12% | 11,087 | 10,466 | $268K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.3% | 2,427 | 1,459 | $183K |
| D1351 | Sealant - per tooth | 7.9% | 6,102 | 1,167 | $173K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.0% | 1,213 | 463 | $155K |
| D0330 | Panoramic radiographic image | 5.9% | 2,849 | 2,723 | $130K |
| D0272 | Bitewings - two radiographic images | 4.5% | 5,555 | 5,233 | $100K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.0% | 3,028 | 2,792 | $67K |
| D0140 | Limited oral evaluation - problem focused | 2.7% | 1,530 | 1,382 | $59K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.5% | 522 | 374 | $55K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.2% | 576 | 219 | $49K |
11 more codes
| D9248 | 2.0% | 1,019 | $44K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.9% | 2,250 | $42K |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 518 | $38K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 3,696 | $35K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 2,630 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 1,032 | $30K |
| D0274 | Bitewings - four radiographic images | 1.0% | 728 | $23K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 102 | $7K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 128 | $5K |
| D1110 | Prophylaxis - adult | <1% | 25 | $907.00 |
| D9420 | 0% | 64 | $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 officialHENRY, LANETTE (OFFICE ADMINISTRATOR)