Dental
Frederick Pediatric Dentistry, LLC
Frederick Pediatric Dentistry, LLC was paid $477K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 35% of everything it billed.
33Billing provider infoFREDERICK PEDIATRIC DENTISTRY, LLC
FREDERICK, MD 21702
FREDERICK, MD 21702
33aNPI1255631370assigned 10/22/2010
33bProvider typePediatric Dentist
28Total paid$477K
24GClaims16,262
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Maryland
Rank by total paid#80 of 150
Median peer was paid$536K
This provider vs. median0.9×
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 | 4,491 | $139K | |
| 2019 | 4,913 | $144K | |
| 2020 | 3,214 | $85K | |
| 2021 | 3,402 | $100K | |
| 2024incomplete | 242 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 35% | 4,049 | 3,956 | $165K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 4,364 | 4,264 | $122K |
| D1206 | Topical application of fluoride varnish | 23% | 4,542 | 4,430 | $109K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.5% | 231 | 148 | $26K |
| D0272 | Bitewings - two radiographic images | 4.3% | 1,452 | 1,421 | $21K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.0% | 818 | 762 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 170 | 170 | $9K |
| D0330 | Panoramic radiographic image | <1% | 83 | 83 | $3K |
| D1330 | <1% | 422 | 414 | $2K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 20 | 14 | $2K |
| D1351 | Sealant - per tooth | <1% | 43 | 12 | $1K |
| D1110 | Prophylaxis - adult | <1% | 12 | 12 | $697.80 |
2 more codes
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 officialPRICHARD, KENDALL (DENTAL RECEPTIONIST)