Dental
Eastern Shore Pediatric Dentistry, LLC
Eastern Shore Pediatric Dentistry, LLC was paid $214K by Medicaid between Aug 2024 and Dec 2024, across 18 billing codes. Its largest line is D1351, Sealant - per tooth — 22% of everything it billed.
33Billing provider infoEASTERN SHORE PEDIATRIC DENTISTRY, LLC
SALISBURY, MD 21804
SALISBURY, MD 21804
33aNPI1093576027assigned 01/17/2024
33bProvider typePediatric Dentist
28Total paid$214K
24GClaims4,278
24DCodes billed18
24AFirst – last monthAug 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Maryland
Rank by total paid#97 of 150
Median peer was paid$536K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2024incomplete | 4,278 | $214K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 22% | 1,158 | 195 | $46K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 163 | 71 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 495 | 495 | $28K |
| D7140 | Extraction, erupted tooth or exposed root | 12% | 191 | 83 | $26K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 517 | 517 | $25K |
| D1206 | Topical application of fluoride varnish | 7.0% | 573 | 573 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.1% | 95 | 58 | $13K |
| D0330 | Panoramic radiographic image | 2.9% | 133 | 133 | $6K |
| D0272 | Bitewings - two radiographic images | 2.8% | 370 | 370 | $6K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 92 | 91 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | 1.9% | 93 | 93 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.7% | 188 | 170 | $4K |
6 more codes
| D1110 | Prophylaxis - adult | 1.4% | 44 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 23 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 46 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 53 | $626.46 |
| D0240 | <1% | 31 | $486.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 13 | $203.36 |
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 officialASERMELY, MATTHEW (OWNER)