Dental
Pediatric Dental Center of Frederick, LLC
Pediatric Dental Center of Frederick, LLC was paid $22.87M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL CENTER OF FREDERICK, LLC
FREDERICK, MD 21704
FREDERICK, MD 21704
33aNPI1114094398assigned 11/30/2006
33bProvider typePediatric Dentist
28Total paid$22.87M
24GClaims529,655
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Maryland
Rank by total paid#1 of 150
Median peer was paid$536K
This provider vs. median43×
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 | 58,201 | $2.56M | |
| 2019 | 72,571 | $2.81M | |
| 2020 | 72,974 | $2.90M | |
| 2021 | 63,533 | $2.57M | |
| 2022 | 87,463 | $3.86M | |
| 2023 | 90,797 | $4.14M | |
| 2024incomplete | 84,116 | $4.04M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 28,201 | 13,974 | $3.33M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 22,422 | 6,987 | $2.90M |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 59,042 | 56,937 | $2.46M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.7% | 70,701 | 68,163 | $1.99M |
| D1351 | Sealant - per tooth | 8.3% | 59,105 | 14,761 | $1.91M |
| D1208 | Topical application of fluoride, excluding varnish | 7.5% | 77,614 | 74,801 | $1.70M |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.3% | 18,287 | 10,513 | $1.68M |
| D1110 | Prophylaxis - adult | 4.9% | 19,678 | 18,878 | $1.13M |
| D7140 | Extraction, erupted tooth or exposed root | 4.6% | 10,494 | 5,502 | $1.05M |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.8% | 5,930 | 3,806 | $876K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.1% | 31,177 | 28,378 | $719K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.2% | 7,269 | 3,119 | $510K |
17 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 8,857 | $430K |
| D0330 | Panoramic radiographic image | 1.4% | 6,921 | $312K |
| D0272 | Bitewings - two radiographic images | 1.3% | 17,786 | $293K |
| D2335 | 1.2% | 1,839 | $279K | |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 6,641 | $270K |
| D3120 | 1.1% | 7,281 | $248K | |
| D0274 | Bitewings - four radiographic images | 1.1% | 10,196 | $245K |
| D1330 | <1% | 32,675 | $203K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 14,586 | $157K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 8,834 | $89K |
| D2330 | <1% | 496 | $38K | |
| D0240 | <1% | 2,940 | $33K | |
| D2332 | <1% | 164 | $19K | |
| D0270 | <1% | 475 | $5K | |
| D1510 | <1% | 16 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 14 | $798.00 |
| D1206 | Topical application of fluoride varnish | <1% | 14 | $348.88 |
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 officialMANSMAN, ROBERT (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Smile Frederick LLC | Frederick, MD | $2.79M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.