Dental
Dayton Childrens Dental Center, LLC
Dayton Childrens Dental Center, LLC was paid $890K by Medicaid between Jan 2018 and Jun 2019, across 21 billing codes. Its largest line is D2150, Silver amalgam - two surfaces, primary or permanent — 18% of everything it billed.
33Billing provider infoDAYTON CHILDRENS DENTAL CENTER, LLC
DAYTON, OH 45417
DAYTON, OH 45417
33aNPI1215336912assigned 08/19/2014
33bProvider typeDentist
28Total paid$890K
24GClaims46,573
24DCodes billed21
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Dentist providers in Ohio
Rank by total paid#90 of 745
Median peer was paid$38K
This provider vs. median23×
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 | 34,755 | $609K | |
| 2019 | 11,818 | $281K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2150 | Silver amalgam - two surfaces, primary or permanent | 18% | 3,766 | 1,679 | $158K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 6,691 | 5,351 | $105K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 6,558 | 5,406 | $91K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 9.0% | 827 | 221 | $80K |
| D2140 | 8.5% | 2,438 | 1,252 | $76K | |
| D1208 | Topical application of fluoride, excluding varnish | 7.0% | 5,774 | 4,291 | $62K |
| D0330 | Panoramic radiographic image | 6.7% | 1,619 | 1,339 | $60K |
| D1351 | Sealant - per tooth | 5.0% | 3,628 | 591 | $45K |
| D1110 | Prophylaxis - adult | 4.5% | 1,464 | 1,200 | $40K |
| D1206 | Topical application of fluoride varnish | 3.3% | 2,114 | 2,029 | $30K |
| D7140 | Extraction, erupted tooth or exposed root | 3.2% | 595 | 345 | $28K |
| D0272 | Bitewings - two radiographic images | 3.0% | 3,759 | 2,914 | $27K |
9 more codes
| D0274 | Bitewings - four radiographic images | 2.7% | 1,917 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 1,222 | $22K |
| D2160 | 1.9% | 313 | $17K | |
| D0240 | <1% | 1,048 | $8K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,527 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 322 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 908 | $4K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 44 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 39 | $2K |
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 officialGRAMMER, LISA (DISTRICT MANAGER)