Dental
Pediatric Dental Associates
Pediatric Dental Associates was paid $2.42M by Medicaid between Jan 2018 and Oct 2021, across 25 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 11% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL ASSOCIATES
GADSDEN, AL 35901
GADSDEN, AL 35901
33aNPI1265612469assigned 11/06/2007
33bProvider typePediatric Dentist
28Total paid$2.42M
24GClaims103,926
24DCodes billed25
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Pediatric Dentist providers in Alabama
Rank by total paid#30 of 111
Median peer was paid$708K
This provider vs. median3.4×
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 | 25,456 | $602K | |
| 2019 | 25,431 | $590K | |
| 2020 | 23,370 | $536K | |
| 2021 | 29,669 | $695K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 4,553 | 3,392 | $257K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 9,530 | 9,158 | $251K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 14,243 | 13,727 | $246K |
| D1208 | Topical application of fluoride, excluding varnish | 8.6% | 14,911 | 14,331 | $209K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.7% | 2,559 | 1,960 | $187K |
| D1999 | 6.9% | 8,942 | 8,008 | $167K | |
| D1110 | Prophylaxis - adult | 6.5% | 4,685 | 4,526 | $158K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.2% | 1,444 | 938 | $126K |
| D0272 | Bitewings - two radiographic images | 4.9% | 7,124 | 6,817 | $119K |
| D0330 | Panoramic radiographic image | 4.7% | 2,635 | 2,505 | $115K |
| D7140 | Extraction, erupted tooth or exposed root | 4.6% | 2,163 | 1,298 | $110K |
| D0220 | Intraoral - periapical first radiographic image | 4.5% | 10,455 | 9,982 | $108K |
13 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 4.1% | 10,538 | $98K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.4% | 768 | $59K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 2,814 | $53K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 1,387 | $30K |
| D1351 | Sealant - per tooth | <1% | 1,182 | $23K |
| D1206 | Topical application of fluoride varnish | <1% | 884 | $22K |
| D2330 | <1% | 378 | $20K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 705 | $18K |
| D0274 | Bitewings - four radiographic images | <1% | 532 | $12K |
| D0240 | <1% | 670 | $12K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 558 | $11K |
| D2331 | <1% | 134 | $9K | |
| D3120 | <1% | 132 | $3K |
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 officialHOLMES, MICHAEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Shands Teaching Hospital and Clinics INC | Gainesville, FL | $92.02M |
| Shands Teaching Hospital and Clinics INC | Gainesville, FL | $17.74M |
| West Side Sober Living | Minnetonka, MN | $5.21M |
| Shands Teaching Hospital and Clinics INC | Gainesville, FL | $91K |
| Shands Teaching Hospital and Clinics INC | Gainesville, FL | $25K |
| Shands Teaching Hospital and Clinics INC | Gainesville, FL | $24K |
| Shands Teaching Hospital and Clinics INC | Gainesville, FL | $13K |
| Shands Teaching Hospital and Clinics INC | Gainesville, FL | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.