Dental
Highpoint Pediatric Dental Associates
Highpoint Pediatric Dental Associates was paid $1.47M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 16% of everything it billed.
33Billing provider infoHIGHPOINT PEDIATRIC DENTAL ASSOCIATES
CHALFONT, PA 18914
CHALFONT, PA 18914
33aNPI1144367293assigned 01/30/2007
33bProvider typePediatric Dentist
28Total paid$1.47M
24GClaims64,437
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#14 of 237
Median peer was paid$109K
This provider vs. median13×
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 | 1,465 | $41K | |
| 2019 | 1,923 | $53K | |
| 2020 | 5,782 | $132K | |
| 2021 | 23,865 | $549K | |
| 2022 | 510 | $14K | |
| 2023 | 604 | $15K | |
| 2024incomplete | 30,288 | $666K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 16% | 11,760 | 11,639 | $240K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 9,599 | 9,520 | $220K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 7,600 | 7,535 | $212K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.3% | 1,987 | 1,454 | $137K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.0% | 3,197 | 3,026 | $118K |
| D1110 | Prophylaxis - adult | 7.3% | 2,736 | 2,723 | $107K |
| D0272 | Bitewings - two radiographic images | 5.4% | 4,226 | 4,194 | $80K |
| D1351 | Sealant - per tooth | 3.2% | 1,631 | 296 | $47K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 675 | 562 | $36K |
| D1330 | 2.3% | 6,832 | 6,816 | $34K | |
| D9920 | 2.3% | 830 | 823 | $34K | |
| D0601 | 1.9% | 2,787 | 2,786 | $28K |
16 more codes
| D0330 | Panoramic radiographic image | 1.7% | 572 | $24K |
| D7140 | Extraction, erupted tooth or exposed root | 1.6% | 427 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 917 | $21K |
| D0603 | 1.3% | 1,990 | $20K | |
| D0274 | Bitewings - four radiographic images | 1.2% | 586 | $18K |
| D1310 | 1.2% | 3,373 | $17K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.1% | 155 | $16K |
| D0602 | <1% | 1,249 | $12K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 801 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 88 | $7K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 101 | $6K |
| D2140 | <1% | 66 | $3K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 146 | $2K |
| D0240 | <1% | 45 | $1K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 21 | $516.00 |
| D1999 | 0% | 40 | $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 officialDURRA, IBRAHIM (OWNER - DENTIST)