Dental
Super Kids Teeth LLC
Super Kids Teeth LLC was paid $1.72M by Medicaid between Feb 2018 and Dec 2024, across 24 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoSUPER KIDS TEETH LLC
ODENTON, MD 21113
ODENTON, MD 21113
33aNPI1376065193assigned 07/13/2017
33bProvider typePediatric Dentist
28Total paid$1.72M
24GClaims46,424
24DCodes billed24
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Maryland
Rank by total paid#46 of 150
Median peer was paid$536K
This provider vs. median3.2×
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 | |
|---|---|---|---|
| 2018 | 1,038 | $43K | |
| 2019 | 2,924 | $87K | |
| 2020 | 3,726 | $127K | |
| 2021 | 7,567 | $299K | |
| 2022 | 8,769 | $310K | |
| 2023 | 11,598 | $410K | |
| 2024incomplete | 10,802 | $446K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 8,776 | 8,605 | $385K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 2,229 | 1,017 | $283K |
| D1206 | Topical application of fluoride varnish | 14% | 9,971 | 9,775 | $245K |
| D1351 | Sealant - per tooth | 13% | 6,439 | 1,520 | $225K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 6,942 | 6,813 | $207K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.1% | 1,680 | 1,653 | $88K |
| D0272 | Bitewings - two radiographic images | 3.2% | 3,558 | 3,497 | $55K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 523 | 270 | $51K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.6% | 287 | 90 | $45K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.0% | 1,846 | 1,754 | $34K |
| D0330 | Panoramic radiographic image | 1.9% | 764 | 742 | $33K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 212 | 119 | $25K |
12 more codes
| D1330 | <1% | 1,896 | $12K | |
| D1110 | Prophylaxis - adult | <1% | 98 | $6K |
| D9248 | <1% | 29 | $5K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 113 | $5K |
| D2940 | <1% | 83 | $4K | |
| D0240 | <1% | 399 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 362 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 104 | $2K |
| D9310 | <1% | 37 | $2K | |
| D3120 | <1% | 50 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 13 | $535.28 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 13 | $96.00 |
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 officialMON, SOE (CO-OWNER)