Dental
Pediatric Dental Associates PC
Pediatric Dental Associates PC was paid $1.03M by Medicaid between Oct 2021 and Dec 2024, across 18 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 20% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL ASSOCIATES PC
ARDMORE, OK 73401
ARDMORE, OK 73401
33aNPI1447328349assigned 12/01/2006
33bProvider typeDentist
28Total paid$1.03M
24GClaims29,632
24DCodes billed18
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Dentist providers in Oklahoma
Rank by total paid#27 of 150
Median peer was paid$154K
This provider vs. median6.7×
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 | |
|---|---|---|---|
| 2021 | 3,210 | $129K | |
| 2022 | 13,653 | $522K | |
| 2023 | 9,323 | $294K | |
| 2024incomplete | 3,446 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 20% | 1,898 | 599 | $209K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 2,127 | 945 | $185K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 4,552 | 4,503 | $134K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 5,189 | 5,119 | $108K |
| D1206 | Topical application of fluoride varnish | 8.7% | 5,439 | 5,371 | $90K |
| D7140 | Extraction, erupted tooth or exposed root | 8.1% | 1,405 | 623 | $84K |
| D0272 | Bitewings - two radiographic images | 4.0% | 2,326 | 2,302 | $41K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.7% | 1,599 | 1,552 | $38K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.7% | 318 | 143 | $27K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 1,570 | 1,559 | $23K |
| D1110 | Prophylaxis - adult | 2.1% | 502 | 500 | $21K |
| D9310 | 2.0% | 438 | 438 | $21K |
6 more codes
| D1351 | Sealant - per tooth | 1.6% | 763 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 280 | $15K |
| D0240 | <1% | 571 | $10K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 583 | $4K |
| D0330 | Panoramic radiographic image | <1% | 58 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 14 | $366.00 |
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 officialLITTEKEN, EUGENE (PRESIDENT)