Dental
Dentistry for Children & Adolescents,llc
Dentistry for Children & Adolescents,llc was paid $1.68M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is D1351, Sealant - per tooth — 14% of everything it billed.
33Billing provider infoDENTISTRY FOR CHILDREN & ADOLESCENTS,LLC
HOLMES, PA 19043
HOLMES, PA 19043
33aNPI1194789768assigned 04/12/2006
33bProvider typePediatric Dentist
28Total paid$1.68M
24GClaims57,259
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#7 of 237
Median peer was paid$109K
This provider vs. median15×
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 | 2,574 | $71K | |
| 2019 | 2,690 | $82K | |
| 2020 | 621 | $19K | |
| 2021 | 25 | $545.10 | |
| 2022 | 376 | $10K | |
| 2023 | 1,187 | $33K | |
| 2024incomplete | 49,786 | $1.46M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 14% | 6,823 | 2,193 | $234K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.4% | 6,501 | 6,451 | $157K |
| D1206 | Topical application of fluoride varnish | 8.7% | 6,776 | 6,629 | $145K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.1% | 2,734 | 2,586 | $136K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.9% | 4,401 | 4,365 | $132K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.9% | 1,587 | 1,118 | $116K |
| D1110 | Prophylaxis - adult | 6.8% | 2,719 | 2,702 | $113K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.1% | 561 | 504 | $86K |
| D7140 | Extraction, erupted tooth or exposed root | 5.0% | 989 | 694 | $84K |
| D0274 | Bitewings - four radiographic images | 4.6% | 2,347 | 2,332 | $77K |
| D0272 | Bitewings - two radiographic images | 3.4% | 2,833 | 2,816 | $56K |
| D0330 | Panoramic radiographic image | 2.7% | 1,017 | 1,010 | $45K |
20 more codes
| D2140 | 2.2% | 669 | $38K | |
| D2160 | 2.2% | 456 | $37K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.1% | 364 | $36K |
| D2335 | 1.7% | 288 | $28K | |
| D0603 | 1.3% | 2,222 | $22K | |
| D1310 | 1.3% | 4,358 | $21K | |
| D1330 | 1.3% | 4,328 | $21K | |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 1,830 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 766 | $16K |
| D2332 | <1% | 154 | $14K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 809 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 316 | $8K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 313 | $7K |
| D0602 | <1% | 506 | $5K | |
| D2161 | <1% | 51 | $5K | |
| D0601 | <1% | 460 | $5K | |
| D1510 | <1% | 13 | $2K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 13 | $884.52 |
| D0140 | Limited oral evaluation - problem focused | <1% | 39 | $693.83 |
| D9110 | <1% | 16 | $552.90 |
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 officialDONOHUE, HENRIETTA (OFFICE MANAGER)