Dental
Park Pediatric Dentistry, LLC
Park Pediatric Dentistry, LLC was paid $414K by Medicaid between Oct 2023 and Dec 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoPARK PEDIATRIC DENTISTRY, LLC
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
33aNPI1134900582assigned 10/11/2023
33bProvider typePediatric Dentist
28Total paid$414K
24GClaims7,034
24DCodes billed19
24AFirst – last monthOct 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Louisiana
Rank by total paid#55 of 98
Median peer was paid$469K
This provider vs. median0.9×
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 | 244 | $11K | |
| 2024incomplete | 6,790 | $403K |
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 | 21% | 758 | 355 | $86K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 16% | 309 | 130 | $66K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 874 | 852 | $52K |
| D7140 | Extraction, erupted tooth or exposed root | 8.6% | 348 | 172 | $36K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.8% | 852 | 836 | $32K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.1% | 529 | 496 | $25K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.9% | 265 | 175 | $25K |
| D9420 | 4.2% | 171 | 169 | $18K | |
| D0272 | Bitewings - two radiographic images | 4.1% | 645 | 632 | $17K |
| D1208 | Topical application of fluoride, excluding varnish | 3.3% | 534 | 533 | $14K |
| D1351 | Sealant - per tooth | 2.9% | 354 | 138 | $12K |
| D0145 | Oral evaluation for a patient under three years of age | 2.1% | 137 | 136 | $9K |
7 more codes
| D1206 | Topical application of fluoride varnish | 2.0% | 323 | $8K |
| D0120 | Dental checkup, returning patient | 1.4% | 184 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 326 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 145 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 126 | $1K |
| D1110 | Prophylaxis - adult | <1% | 16 | $975.00 |
| D9986 | 0% | 138 | $0.00 |
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 officialNOTO, HANNAH (DOCTOR)