Dental
Pediatric Dental Associates of Atlanta
Pediatric Dental Associates of Atlanta was paid $77K by Medicaid between Jun 2020 and Nov 2024, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 44% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL ASSOCIATES OF ATLANTA
AUGUSTA, GA 30907
AUGUSTA, GA 30907
33aNPI1245879006assigned 12/26/2019
33bProvider typePediatric Dentist
28Total paid$77K
24GClaims3,115
24DCodes billed7
24AFirst – last monthJun 2020 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Georgia
Rank by total paid#18 of 38
Median peer was paid$58K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2020 | 430 | $10K | |
| 2021 | 582 | $13K | |
| 2022 | 424 | $11K | |
| 2023 | 718 | $18K | |
| 2024incomplete | 961 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 44% | 978 | 978 | $34K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 713 | 713 | $17K |
| D1206 | Topical application of fluoride varnish | 21% | 980 | 980 | $16K |
| D0272 | Bitewings - two radiographic images | 7.7% | 314 | 314 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 68 | 68 | $3K |
| D0240 | 1.3% | 50 | 43 | $1K | |
| D1110 | Prophylaxis - adult | <1% | 12 | 12 | $604.80 |
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 officialOBEBE, AKINDEKO (PRESIDENT)