Dental
Pediatric Dentistry of Matthews
Pediatric Dentistry of Matthews was paid $273K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 45% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF MATTHEWS
MATTHEWS, NC 28105
MATTHEWS, NC 28105
33aNPI1104845270assigned 07/19/2006
33bProvider typePediatric Dentist
28Total paid$273K
24GClaims12,886
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in North Carolina
Rank by total paid#131 of 195
Median peer was paid$776K
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 | |
|---|---|---|---|
| 2018 | 2,779 | $68K | |
| 2019 | 1,920 | $44K | |
| 2020 | 1,329 | $32K | |
| 2021 | 1,575 | $36K | |
| 2022 | 1,441 | $30K | |
| 2023 | 1,808 | $29K | |
| 2024incomplete | 2,034 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 45% | 5,511 | 4,860 | $124K |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 2,637 | 2,343 | $60K |
| D1206 | Topical application of fluoride varnish | 14% | 2,985 | 2,544 | $39K |
| D1110 | Prophylaxis - adult | 6.4% | 505 | 456 | $17K |
| D1208 | Topical application of fluoride, excluding varnish | 3.7% | 669 | 642 | $10K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.7% | 193 | 162 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.0% | 62 | 29 | $6K |
| D0272 | Bitewings - two radiographic images | 1.2% | 221 | 192 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 36 | 13 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 27 | 12 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 28 | 26 | $933.12 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | 12 | $466.51 |
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 officialMETHENEY, TRINA (OFFICE MANAGER)