Dental
Lakewood Pediatric Dentistry PLLC
Lakewood Pediatric Dentistry PLLC was paid $161K by Medicaid between Oct 2019 and Sep 2023, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.
33Billing provider infoLAKEWOOD PEDIATRIC DENTISTRY PLLC
LAKEWOOD, NY 14750
LAKEWOOD, NY 14750
33aNPI1417499500assigned 11/07/2016
33bProvider typePediatric Dentist
28Total paid$161K
24GClaims5,986
24DCodes billed9
24AFirst – last monthOct 2019 – Sep 2023
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#277 of 514
Median peer was paid$196K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2019 | 346 | $10K | |
| 2020 | 1,372 | $36K | |
| 2021 | 1,651 | $44K | |
| 2022 | 1,654 | $45K | |
| 2023 | 963 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 41% | 1,596 | 1,596 | $67K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 1,653 | 1,653 | $44K |
| D1206 | Topical application of fluoride varnish | 11% | 590 | 590 | $17K |
| D1208 | Topical application of fluoride, excluding varnish | 9.6% | 1,110 | 1,110 | $15K |
| D0272 | Bitewings - two radiographic images | 7.5% | 775 | 775 | $12K |
| D1110 | Prophylaxis - adult | 2.5% | 75 | 75 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 48 | 48 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | 12 | $163.10 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 127 | 124 | $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 officialCARLSON, JAN (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Steven D. Pendleton DDS PA | Kansas City, KS | $1.08M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.