Fulton Pediatric Dental

Fulton Pediatric Dental was paid $116K by Medicaid between Dec 2022 and Dec 2024, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.

33Billing provider infoFULTON PEDIATRIC DENTAL
FULTON, MD 20759

33aNPI1295487155assigned 01/21/2022

33bProvider typePediatric Dentist

28Total paid$116K

24GClaims3,524

24DCodes billed12

24AFirst – last monthDec 2022 – Dec 2024

Compared with peers

Next to other Pediatric Dentist providers in Maryland

Rank by total paid#111 of 150

Median peer was paid$536K

This provider vs. median0.2×

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	45	$2K
2023	1,368	$48K
2024incomplete	2,111	$67K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	33%	803	801	$39K
D0150	Comprehensive oral evaluation - new or established patient	21%	436	432	$24K
D1206	Topical application of fluoride varnish	20%	901	898	$23K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	425	425	$13K
D1351	Sealant - per tooth	3.3%	110	26	$4K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	3.0%	180	151	$3K
D0272	Bitewings - two radiographic images	2.9%	212	211	$3K
D1330		2.4%	382	382	$3K
D0330	Panoramic radiographic image	1.5%	38	38	$2K
D1110	Prophylaxis - adult	<1%	13	13	$872.56
D0274	Bitewings - four radiographic images	<1%	12	12	$288.84
D0220	Intraoral - periapical first radiographic image	<1%	12	12	$141.84

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 officialHERSHKO, GAL (OWNER)