Dental
Super Tooth Pediatric Dentistry
Super Tooth Pediatric Dentistry was paid $29K by Medicaid between Aug 2024 and Dec 2024, across 14 billing codes. Its largest line is D1351, Sealant - per tooth — 20% of everything it billed.
33Billing provider infoSUPER TOOTH PEDIATRIC DENTISTRY
EAST NORRITON, PA 19401
EAST NORRITON, PA 19401
33aNPI1104500743assigned 06/14/2023
33bProvider typePediatric Dentist
28Total paid$29K
24GClaims1,362
24DCodes billed14
24AFirst – last monthAug 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#164 of 237
Median peer was paid$109K
This provider vs. median0.3×
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 | 1,362 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 20% | 42 | 29 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 201 | 186 | $5K |
| D1206 | Topical application of fluoride varnish | 15% | 215 | 199 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 36 | 28 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.1% | 122 | 113 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.8% | 71 | 50 | $2K |
| D0274 | Bitewings - four radiographic images | 3.7% | 35 | 32 | $1K |
| D1310 | 3.2% | 204 | 190 | $940.00 | |
| D1330 | 3.2% | 204 | 190 | $940.00 | |
| D0601 | 2.8% | 91 | 85 | $834.00 | |
| D0603 | 2.0% | 67 | 62 | $580.00 | |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 48 | 40 | $427.88 |
2 more codes
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 officialIVKER, ROBYN (OWNER)