Dental
Pediatric Dentistry
Pediatric Dentistry was paid $72K by Medicaid between Nov 2023 and Dec 2024, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY
LEONARDTOWN, MD 20650
LEONARDTOWN, MD 20650
33aNPI1124892344assigned 11/08/2023
33bProvider typePediatric Dentist
28Total paid$72K
24GClaims2,150
24DCodes billed9
24AFirst – last monthNov 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Maryland
Rank by total paid#116 of 150
Median peer was paid$536K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 110 | $0.00 | |
| 2024incomplete | 2,040 | $72K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 432 | 432 | $20K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 535 | 535 | $16K |
| D1206 | Topical application of fluoride varnish | 20% | 584 | 584 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.8% | 51 | 39 | $7K |
| D1110 | Prophylaxis - adult | 6.8% | 73 | 73 | $5K |
| D1351 | Sealant - per tooth | 5.5% | 99 | 49 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.1% | 186 | 163 | $4K |
| D0272 | Bitewings - two radiographic images | 4.0% | 177 | 177 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 13 | 13 | $153.66 |
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 officialJUAMBELTZ, JOSE (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dentistry | Dunkirk, MD | $408K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.