Dental
Pinnacle Pediatric Dentistry, PLLC
Pinnacle Pediatric Dentistry, PLLC was paid $855K by Medicaid between Jul 2022 and Dec 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoPINNACLE PEDIATRIC DENTISTRY, PLLC
BEREA, KY 40403
BEREA, KY 40403
33aNPI1528714615assigned 02/27/2022
33bProvider typePediatric Dentist
28Total paid$855K
24GClaims27,345
24DCodes billed23
24AFirst – last monthJul 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Kentucky
Rank by total paid#48 of 134
Median peer was paid$467K
This provider vs. median1.8×
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 | 3,874 | $121K | |
| 2023 | 9,743 | $298K | |
| 2024incomplete | 13,728 | $436K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 3,169 | 3,120 | $181K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 1,063 | 444 | $115K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 1,480 | 798 | $92K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.5% | 2,101 | 2,062 | $64K |
| D1208 | Topical application of fluoride, excluding varnish | 6.1% | 3,476 | 3,412 | $52K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.7% | 990 | 593 | $49K |
| D7140 | Extraction, erupted tooth or exposed root | 5.6% | 1,086 | 557 | $48K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.6% | 1,730 | 1,706 | $39K |
| D1351 | Sealant - per tooth | 4.6% | 1,929 | 601 | $39K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.4% | 1,213 | 1,089 | $38K |
| D0272 | Bitewings - two radiographic images | 3.4% | 1,627 | 1,579 | $29K |
| D0330 | Panoramic radiographic image | 3.0% | 674 | 657 | $26K |
11 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 2,347 | $24K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 2,878 | $22K |
| D1110 | Prophylaxis - adult | 2.0% | 301 | $17K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.1% | 140 | $9K |
| D0140 | Limited oral evaluation - problem focused | <1% | 190 | $6K |
| D2331 | <1% | 23 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 18 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 20 | $644.61 |
| D9420 | <1% | 15 | $473.20 | |
| D9986 | <1% | 580 | $294.00 | |
| D9987 | <1% | 295 | $123.00 |
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 officialJACOBSON, ERIC (MEMBER)