Dental
Pediatric Dental Assoc LTD
Pediatric Dental Assoc LTD was paid $4K by Medicaid between Feb 2018 and Jun 2019, across 4 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 51% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL ASSOC LTD
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
33aNPI1386708121assigned 12/19/2006
33bProvider typeDentist
28Total paid$4K
24GClaims308
24DCodes billed4
24AFirst – last monthFeb 2018 – Jun 2019
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#538 of 683
Median peer was paid$34K
This provider vs. median0.1×
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 | 141 | $2K | |
| 2019 | 167 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 51% | 109 | 107 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 49% | 93 | 91 | $2K |
| D1330 | 0% | 77 | 77 | $0.00 | |
| D0603 | 0% | 29 | 29 | $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 officialROSENBAUM, MICHAEL (PARTNER)
Parent organizationPEDIATRIC DENTAL ASSOCIATES LTD
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dental Assoc LTD | Southampton, PA | $44K |
| Pediatric Dental Assoc LTD | Ambler, PA | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.