Dental
Medplex Pediatric Dentistry, INC.
Medplex Pediatric Dentistry, INC. was paid $3.89M by Medicaid between Jan 2018 and Sep 2024, across 28 billing codes. Its largest line is D1120, dental cleaning, child — 13% of everything it billed.
33Billing provider infoMEDPLEX PEDIATRIC DENTISTRY, INC.
BIRMINGHAM, AL 35244
BIRMINGHAM, AL 35244
33aNPI1518078674assigned 08/31/2006
33bProvider typePediatric Dentist
28Total paid$3.89M
24GClaims146,215
24DCodes billed28
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Alabama
Rank by total paid#22 of 111
Median peer was paid$708K
This provider vs. median5.5×
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 | 16,313 | $393K | |
| 2019 | 18,499 | $473K | |
| 2020 | 18,425 | $453K | |
| 2021 | 26,286 | $734K | |
| 2022 | 26,494 | $722K | |
| 2023 | 23,850 | $698K | |
| 2024incomplete | 16,348 | $412K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 17,923 | 17,324 | $506K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 24,275 | 23,464 | $453K |
| D7240 | Removal of impacted tooth - completely bony | 10% | 2,423 | 525 | $405K |
| D1208 | Topical application of fluoride, excluding varnish | 9.6% | 25,430 | 24,473 | $371K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.9% | 3,673 | 2,159 | $269K |
| D1999 | 6.5% | 13,452 | 12,340 | $254K | |
| D1110 | Prophylaxis - adult | 6.1% | 6,426 | 6,154 | $238K |
| D1351 | Sealant - per tooth | 5.2% | 9,143 | 2,967 | $202K |
| D0272 | Bitewings - two radiographic images | 5.2% | 12,238 | 11,825 | $201K |
| D0330 | Panoramic radiographic image | 4.3% | 3,607 | 3,492 | $168K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.9% | 7,213 | 6,563 | $152K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.6% | 1,352 | 382 | $99K |
16 more codes
| D0274 | Bitewings - four radiographic images | 2.3% | 3,935 | $89K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 1,298 | $77K |
| D7140 | Extraction, erupted tooth or exposed root | 1.9% | 1,433 | $73K |
| D9222 | 1.9% | 669 | $72K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 1.6% | 692 | $60K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 1,807 | $45K |
| D0240 | 1.0% | 2,542 | $40K | |
| D1354 | <1% | 1,268 | $30K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,045 | $26K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,199 | $22K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 145 | $14K |
| D1206 | Topical application of fluoride varnish | <1% | 845 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 732 | $5K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 123 | $3K |
| D9612 | 0% | 50 | $0.00 | |
| D9610 | 0% | 277 | $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 officialCHAMBLISS, RICHARD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dental Associates, LLC | Pell City, AL | $5.50M |
| Oxford Pediatric Dental Associates LLC | Oxford, AL | $3.57M |
| Pediatric Dental Associates of Cullman, LLC | Cullman, AL | $2.82M |
| Pediatric Dental Associates of Cahaba Heights, LLC | Vestavia, AL | $33K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.