Dental
Rockville Pediatric Dental LLC
Rockville Pediatric Dental LLC was paid $4.40M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is D1120, dental cleaning, child — 13% of everything it billed.
33Billing provider infoROCKVILLE PEDIATRIC DENTAL LLC
ROCKVILLE, MD 20852
ROCKVILLE, MD 20852
33aNPI1497994461assigned 02/13/2009
33bProvider typePediatric Dentist
28Total paid$4.40M
24GClaims101,089
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Maryland
Rank by total paid#17 of 150
Median peer was paid$536K
This provider vs. median8.2×
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 | 14,545 | $620K | |
| 2019 | 15,573 | $669K | |
| 2020 | 12,154 | $541K | |
| 2021 | 15,408 | $694K | |
| 2022 | 16,094 | $704K | |
| 2023 | 15,273 | $625K | |
| 2024incomplete | 12,042 | $547K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 13,524 | 13,281 | $588K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 3,460 | 1,244 | $544K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 4,271 | 1,991 | $516K |
| D1206 | Topical application of fluoride varnish | 11% | 19,199 | 18,845 | $476K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 15,461 | 15,204 | $458K |
| D1351 | Sealant - per tooth | 8.5% | 11,141 | 2,280 | $372K |
| D7140 | Extraction, erupted tooth or exposed root | 7.5% | 3,027 | 1,630 | $329K |
| D1110 | Prophylaxis - adult | 5.1% | 3,639 | 3,584 | $222K |
| D0140 | Limited oral evaluation - problem focused | 4.4% | 4,407 | 4,210 | $194K |
| D9248 | 2.7% | 637 | 597 | $117K | |
| D0330 | Panoramic radiographic image | 2.2% | 2,194 | 2,175 | $95K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 919 | 515 | $89K |
16 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.8% | 541 | $80K |
| D0272 | Bitewings - two radiographic images | 1.6% | 4,753 | $72K |
| D3120 | 1.6% | 2,044 | $69K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 1,137 | $59K |
| D1330 | <1% | 7,010 | $43K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 1,212 | $22K |
| D9310 | <1% | 417 | $20K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,358 | $13K |
| D2940 | <1% | 142 | $7K | |
| D0240 | <1% | 277 | $4K | |
| D8660 | <1% | 26 | $4K | |
| D8670 | Periodic orthodontic treatment visit | <1% | 30 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 78 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 142 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 15 | $600.00 |
| D9420 | <1% | 28 | $420.00 |
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 officialHORNG, ANDREW (PEDIATRIC DENTIST)