Dental
Pediatric Dental Care
Pediatric Dental Care was paid $1.13M by Medicaid between Dec 2022 and Dec 2024, across 18 billing codes. Its largest line is D1351, Sealant - per tooth — 18% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL CARE
WYOMISSING, PA 19610
WYOMISSING, PA 19610
33aNPI1265730535assigned 03/10/2011
33bProvider typeDentist
28Total paid$1.13M
24GClaims20,667
24DCodes billed18
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#25 of 683
Median peer was paid$34K
This provider vs. median33×
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 | |
|---|---|---|---|
| 2022 | 51 | $1K | |
| 2023 | 15 | $334.00 | |
| 2024incomplete | 20,601 | $1.13M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 18% | 2,971 | 1,009 | $199K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 17% | 559 | 328 | $190K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.4% | 1,182 | 415 | $106K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.3% | 1,139 | 457 | $106K |
| D7140 | Extraction, erupted tooth or exposed root | 7.4% | 972 | 453 | $83K |
| D0330 | Panoramic radiographic image | 6.3% | 1,233 | 1,233 | $71K |
| D9110 | 4.8% | 1,199 | 1,193 | $54K | |
| D1120 | Dental cleaning, childProphylaxis - child | 4.7% | 1,798 | 1,798 | $54K |
| D2933 | 4.6% | 292 | 104 | $52K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 1,299 | 1,299 | $49K |
| D1206 | Topical application of fluoride varnish | 3.9% | 2,444 | 2,444 | $44K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.9% | 1,204 | 1,204 | $32K |
6 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 officialPEREZ, PRECIOSA (OWNER)