Dental
Columbus Pediatric Dentistry, P.C.
Columbus Pediatric Dentistry, P.C. was paid $5.33M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 23% of everything it billed.
33Billing provider infoCOLUMBUS PEDIATRIC DENTISTRY, P.C.
COLUMBUS, IN 47201
COLUMBUS, IN 47201
33aNPI1326254111assigned 05/16/2007
33bProvider typePediatric Dentist
28Total paid$5.33M
24GClaims149,003
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#10 of 155
Median peer was paid$414K
This provider vs. median13×
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 | 18,805 | $93K | |
| 2019 | 22,509 | $824K | |
| 2020 | 20,506 | $706K | |
| 2021 | 23,577 | $885K | |
| 2022 | 22,651 | $908K | |
| 2023 | 22,598 | $944K | |
| 2024incomplete | 18,357 | $973K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 23% | 9,487 | 2,775 | $1.21M |
| D1120 | Dental cleaning, childProphylaxis - child | 9.9% | 19,013 | 17,621 | $528K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.3% | 7,715 | 4,258 | $440K |
| D7140 | Extraction, erupted tooth or exposed root | 8.0% | 6,203 | 2,709 | $427K |
| D1206 | Topical application of fluoride varnish | 7.5% | 22,283 | 20,616 | $402K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.7% | 18,522 | 17,160 | $358K |
| D1351 | Sealant - per tooth | 4.9% | 11,311 | 2,362 | $262K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 4.3% | 2,732 | 1,499 | $227K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.2% | 8,822 | 7,223 | $225K |
| D0274 | Bitewings - four radiographic images | 3.8% | 7,530 | 6,930 | $203K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.1% | 3,872 | 2,632 | $164K |
| D1110 | Prophylaxis - adult | 2.7% | 3,483 | 3,226 | $142K |
15 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 4,079 | $122K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 3,436 | $106K |
| D1510 | 1.6% | 753 | $88K | |
| D2331 | 1.5% | 1,007 | $81K | |
| D0330 | Panoramic radiographic image | 1.4% | 1,619 | $73K |
| D1354 | 1.1% | 911 | $60K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 3,057 | $50K |
| D2330 | <1% | 585 | $38K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 5,376 | $29K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 403 | $28K |
| D0240 | <1% | 2,124 | $26K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,889 | $20K |
| D2332 | <1% | 220 | $14K | |
| D2335 | <1% | 106 | $10K | |
| D9420 | 0% | 1,465 | $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 officialPAVLOV, MARVIN (C.E.O.)
| Provider | Location | Paid |
|---|---|---|
| Columbus Advanced Family Dentistry | Columbus, IN | $460K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.