Dental
My Kidz Dentist, PC
My Kidz Dentist, PC was paid $3.94M by Medicaid between Jan 2018 and Jun 2020, across 36 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 13% of everything it billed.
33Billing provider infoMY KIDZ DENTIST, PC
NEWNAN, GA 30265
NEWNAN, GA 30265
33aNPI1154598712assigned 05/13/2008
33bProvider typePediatric Dentist
28Total paid$3.94M
24GClaims122,783
24DCodes billed36
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Pediatric Dentist providers in Georgia
Rank by total paid#5 of 38
Median peer was paid$58K
This provider vs. median68×
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 | 63,392 | $2.00M | |
| 2019 | 48,742 | $1.60M | |
| 2020 | 10,649 | $332K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 3,701 | 1,140 | $498K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.3% | 3,378 | 1,433 | $289K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 7.2% | 3,704 | 944 | $282K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.0% | 10,589 | 10,484 | $277K |
| D7140 | Extraction, erupted tooth or exposed root | 6.1% | 3,988 | 1,873 | $241K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.6% | 21,746 | 13,445 | $221K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.7% | 9,941 | 9,853 | $184K |
| D1206 | Topical application of fluoride varnish | 4.6% | 11,382 | 11,259 | $182K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.4% | 2,382 | 1,709 | $175K |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 14,495 | 14,222 | $159K |
| D9630 | 3.5% | 5,078 | 4,776 | $139K | |
| D9920 | 3.3% | 2,406 | 1,680 | $130K |
24 more codes
| D1351 | Sealant - per tooth | 3.0% | 3,886 | $117K |
| D0274 | Bitewings - four radiographic images | 2.8% | 4,135 | $111K |
| D2934 | 2.7% | 857 | $105K | |
| D2940 | 2.3% | 1,929 | $91K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 1,469 | $91K |
| D0272 | Bitewings - two radiographic images | 2.2% | 4,890 | $86K |
| D9410 | 2.1% | 173 | $81K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 2,956 | $80K |
| D1110 | Prophylaxis - adult | 1.5% | 2,234 | $58K |
| D9999 | Unspecified adjunctive procedure, by report | 1.3% | 128 | $51K |
| D9248 | 1.2% | 587 | $48K | |
| D0330 | Panoramic radiographic image | 1.2% | 940 | $46K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 2,126 | $44K |
| D1515 | <1% | 187 | $31K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 1,693 | $31K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 407 | $25K |
| D1510 | <1% | 144 | $22K | |
| D9110 | <1% | 277 | $11K | |
| D9610 | <1% | 225 | $9K | |
| D9310 | <1% | 140 | $7K | |
| D0240 | <1% | 196 | $4K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 191 | $3K |
| D1516 | <1% | 16 | $3K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 207 | $3K |
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 officialBIBBS, LONA (PRESIDENT)