Clinic
Wilmington Pediatric Dentistry PA
Wilmington Pediatric Dentistry PA was paid $130K by Medicaid between Aug 2023 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoWILMINGTON PEDIATRIC DENTISTRY PA
WILMINGTON, DE 19808
WILMINGTON, DE 19808
33aNPI1285331603assigned 02/15/2023
33bProvider typeDental Clinic/Center
28Total paid$130K
24GClaims3,039
24DCodes billed19
24AFirst – last monthAug 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Delaware
Rank by total paid#16 of 24
Median peer was paid$212K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2023 | 233 | $7K | |
| 2024incomplete | 2,806 | $123K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 493 | 471 | $24K |
| D1351 | Sealant - per tooth | 12% | 437 | 87 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 264 | 214 | $15K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 10% | 50 | 14 | $13K |
| D0240 | 8.6% | 376 | 183 | $11K | |
| D7140 | Extraction, erupted tooth or exposed root | 7.0% | 56 | 14 | $9K |
| D1206 | Topical application of fluoride varnish | 5.8% | 256 | 249 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 5.8% | 291 | 271 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.1% | 29 | 14 | $7K |
| D0272 | Bitewings - two radiographic images | 3.9% | 141 | 137 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.0% | 96 | 91 | $4K |
| D9920 | 2.7% | 28 | 27 | $4K |
7 more codes
| D0330 | Panoramic radiographic image | 2.5% | 42 | $3K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 31 | $2K |
| D1110 | Prophylaxis - adult | <1% | 13 | $752.13 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 21 | $406.26 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 15 | $307.44 |
| D0602 | 0% | 315 | $0.00 | |
| D0603 | 0% | 85 | $0.00 |
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 officialALIMORAD, LIDA (PROVIDER/OWNER)