Clinic
Roots Pediatric Dentistry, LLC
Roots Pediatric Dentistry, LLC was paid $1.57M by Medicaid between Jan 2022 and Dec 2024, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 22% of everything it billed.
33Billing provider infoROOTS PEDIATRIC DENTISTRY, LLC
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
33aNPI1467111203assigned 12/09/2021
33bProvider typeDental Clinic/Center
28Total paid$1.57M
24GClaims39,296
24DCodes billed22
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Louisiana
Rank by total paid#8 of 59
Median peer was paid$90K
This provider vs. median17×
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 | |
|---|---|---|---|
| 2022 | 9,181 | $318K | |
| 2023 | 11,064 | $447K | |
| 2024incomplete | 19,051 | $804K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 22% | 2,035 | 521 | $339K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 6,398 | 6,109 | $242K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 6,516 | 6,221 | $199K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.3% | 1,616 | 958 | $146K |
| D1208 | Topical application of fluoride, excluding varnish | 5.9% | 4,207 | 3,997 | $93K |
| D1206 | Topical application of fluoride varnish | 5.8% | 3,580 | 3,428 | $91K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.5% | 2,223 | 1,938 | $86K |
| D0272 | Bitewings - two radiographic images | 5.0% | 3,660 | 3,473 | $79K |
| D0145 | Oral evaluation for a patient under three years of age | 2.7% | 810 | 789 | $42K |
| D0330 | Panoramic radiographic image | 2.6% | 625 | 590 | $41K |
| D1110 | Prophylaxis - adult | 2.5% | 762 | 709 | $40K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 2,672 | 2,502 | $39K |
10 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 481 | $35K |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 307 | $27K |
| D1351 | Sealant - per tooth | 1.6% | 829 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 418 | $17K |
| D0140 | Limited oral evaluation - problem focused | <1% | 791 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,107 | $7K |
| D9420 | <1% | 73 | $6K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 23 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 16 | $1K |
| D0240 | 0% | 147 | $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 officialBROUSSARD, MARJORIE (BUSINESS MANAGER)