Dental
South Alabama Pediatric Dentistry LLC
South Alabama Pediatric Dentistry LLC was paid $1.92M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoSOUTH ALABAMA PEDIATRIC DENTISTRY LLC
MOBILE, AL 36609
MOBILE, AL 36609
33aNPI1437289303assigned 03/07/2007
33bProvider typePediatric Dentist
28Total paid$1.92M
24GClaims57,445
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Alabama
Rank by total paid#39 of 111
Median peer was paid$708K
This provider vs. median2.7×
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 | 15,327 | $427K | |
| 2019 | 7,003 | $225K | |
| 2020 | 5,417 | $196K | |
| 2021 | 6,449 | $229K | |
| 2022 | 6,802 | $242K | |
| 2023 | 7,233 | $247K | |
| 2024incomplete | 9,214 | $352K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 9,976 | 9,793 | $328K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 3,163 | 1,992 | $290K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 10,712 | 10,527 | $238K |
| D1208 | Topical application of fluoride, excluding varnish | 8.5% | 9,904 | 9,723 | $162K |
| D7140 | Extraction, erupted tooth or exposed root | 8.1% | 2,440 | 1,284 | $155K |
| D0330 | Panoramic radiographic image | 7.4% | 2,463 | 2,406 | $142K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.7% | 5,022 | 4,696 | $128K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.7% | 1,534 | 1,112 | $109K |
| D0272 | Bitewings - two radiographic images | 4.5% | 4,261 | 4,169 | $87K |
| D1110 | Prophylaxis - adult | 4.4% | 1,933 | 1,907 | $84K |
| D1206 | Topical application of fluoride varnish | 3.1% | 2,009 | 1,978 | $60K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 1,460 | 1,423 | $54K |
7 more codes
| D1354 | 2.1% | 852 | $40K | |
| D1351 | Sealant - per tooth | <1% | 468 | $11K |
| D0140 | Limited oral evaluation - problem focused | <1% | 325 | $11K |
| D0274 | Bitewings - four radiographic images | <1% | 383 | $10K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 515 | $7K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 13 | $2K |
| D1330 | 0% | 12 | $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 officialTHOMAS, EARL (OWNER)