Dental
Rhode Island Childrens Dentistry
Rhode Island Childrens Dentistry was paid $417K by Medicaid between Jun 2021 and Dec 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 42% of everything it billed.
33Billing provider infoRHODE ISLAND CHILDRENS DENTISTRY
COVENTRY, RI 02816
COVENTRY, RI 02816
33aNPI1427586775assigned 05/31/2017
33bProvider typePediatric Dentist
28Total paid$417K
24GClaims11,579
24DCodes billed13
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Rhode Island
Rank by total paid#19 of 29
Median peer was paid$643K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2021 | 2,394 | $85K | |
| 2022 | 3,688 | $133K | |
| 2023 | 3,242 | $115K | |
| 2024incomplete | 2,255 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 42% | 3,349 | 3,310 | $175K |
| D1206 | Topical application of fluoride varnish | 23% | 3,545 | 3,503 | $96K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 3,130 | 3,090 | $94K |
| D0272 | Bitewings - two radiographic images | 6.9% | 945 | 933 | $29K |
| D1351 | Sealant - per tooth | 1.2% | 144 | 41 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 90 | 89 | $5K |
| D1110 | Prophylaxis - adult | 1.0% | 64 | 63 | $4K |
| D0330 | Panoramic radiographic image | <1% | 27 | 27 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 22 | 12 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 36 | 36 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 83 | 73 | $1K |
| D0240 | <1% | 104 | 81 | $1K |
1 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 40 | $789.00 |
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 officialGORDON, WILLIAM (OWNER)
| Provider | Location | Paid |
|---|---|---|
| William D. Gordon, O.D. INC. | Monroe, LA | $1.41M |
| DME Scooters and More INC. | Ft Worth, TX | $42K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.