Dental
Pediatric Dentistry, P.A.
Pediatric Dentistry, P.A. was paid $3.64M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D8670, Periodic orthodontic treatment visit — 18% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY, P.A.
JACKSON, MS 39209
JACKSON, MS 39209
33aNPI1134414733assigned 06/13/2011
33bProvider typePediatric Dentist
28Total paid$3.64M
24GClaims78,783
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Mississippi
Rank by total paid#7 of 81
Median peer was paid$580K
This provider vs. median6.3×
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 | |
|---|---|---|---|
| 2018 | 5,967 | $68K | |
| 2019 | 7,963 | $252K | |
| 2020 | 6,443 | $265K | |
| 2021 | 12,320 | $621K | |
| 2022 | 15,763 | $780K | |
| 2023 | 15,909 | $895K | |
| 2024incomplete | 14,418 | $762K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 18% | 6,720 | 5,658 | $646K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 4,701 | 2,143 | $461K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 3,646 | 1,175 | $461K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 10% | 5,014 | 2,175 | $375K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.7% | 11,507 | 10,105 | $317K |
| D7140 | Extraction, erupted tooth or exposed root | 8.2% | 4,097 | 1,712 | $299K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.6% | 8,909 | 8,384 | $242K |
| D1208 | Topical application of fluoride, excluding varnish | 4.3% | 9,760 | 8,695 | $156K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 4,552 | 3,612 | $138K |
| D0272 | Bitewings - two radiographic images | 3.0% | 6,259 | 5,426 | $109K |
| D0330 | Panoramic radiographic image | 2.9% | 2,771 | 2,356 | $107K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.4% | 3,463 | 2,482 | $88K |
12 more codes
| D0140 | Limited oral evaluation - problem focused | 2.0% | 1,939 | $73K |
| D9248 | <1% | 692 | $33K | |
| D1510 | <1% | 140 | $27K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 250 | $22K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,694 | $22K |
| D1206 | Topical application of fluoride varnish | <1% | 1,240 | $21K |
| D1351 | Sealant - per tooth | <1% | 566 | $15K |
| D1110 | Prophylaxis - adult | <1% | 429 | $9K |
| D0274 | Bitewings - four radiographic images | <1% | 245 | $8K |
| D2390 | <1% | 57 | $8K | |
| D2330 | <1% | 90 | $7K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 42 | $421.38 |
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 officialCOPE, L (DENTIST)