Dental
Madison Pediatric Dentistry LLC
Madison Pediatric Dentistry LLC was paid $569K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.
33Billing provider infoMADISON PEDIATRIC DENTISTRY LLC
MADISON, AL 35758
MADISON, AL 35758
33aNPI1184935959assigned 06/27/2010
33bProvider typePediatric Dentist
28Total paid$569K
24GClaims21,816
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Alabama
Rank by total paid#64 of 111
Median peer was paid$708K
This provider vs. median0.8×
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 | 2,758 | $65K | |
| 2019 | 2,779 | $68K | |
| 2020 | 2,809 | $73K | |
| 2021 | 3,361 | $87K | |
| 2022 | 3,737 | $97K | |
| 2023 | 3,300 | $88K | |
| 2024incomplete | 3,072 | $91K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 4,838 | 4,745 | $167K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 5,053 | 4,960 | $121K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 5,510 | 5,412 | $98K |
| D0272 | Bitewings - two radiographic images | 14% | 3,790 | 3,726 | $81K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.6% | 1,077 | 1,011 | $32K |
| D1110 | Prophylaxis - adult | 3.1% | 385 | 378 | $18K |
| D0330 | Panoramic radiographic image | 2.8% | 253 | 244 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 365 | 355 | $14K |
| D0274 | Bitewings - four radiographic images | 1.4% | 273 | 272 | $8K |
| D1354 | 1.4% | 173 | 46 | $8K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 41 | 26 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 46 | 38 | $3K |
1 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | $374.00 |
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 officialMOFFETT, WESLEY (MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Treehouse Children's Dentistry, LLC | Madison, AL | $527K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.