Dental
Grove City Pediatric Dentistry
Grove City Pediatric Dentistry was paid $1.47M by Medicaid between Apr 2022 and Dec 2024, across 20 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 32% of everything it billed.
33Billing provider infoGROVE CITY PEDIATRIC DENTISTRY
GROVE CITY, OH 43123
GROVE CITY, OH 43123
33aNPI1528726445assigned 12/08/2021
33bProvider typePediatric Dentist
28Total paid$1.47M
24GClaims33,149
24DCodes billed20
24AFirst – last monthApr 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Ohio
Rank by total paid#23 of 144
Median peer was paid$140K
This provider vs. median11×
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 | 5,193 | $174K | |
| 2023 | 10,615 | $324K | |
| 2024incomplete | 17,341 | $976K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 32% | 3,209 | 997 | $465K |
| D7140 | Extraction, erupted tooth or exposed root | 9.9% | 1,781 | 850 | $146K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.0% | 4,519 | 4,482 | $133K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.1% | 1,398 | 866 | $105K |
| D1206 | Topical application of fluoride varnish | 6.9% | 4,465 | 4,429 | $101K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.4% | 2,894 | 2,864 | $80K |
| D1351 | Sealant - per tooth | 4.7% | 2,240 | 827 | $69K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 1,835 | 1,829 | $63K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.2% | 1,495 | 1,427 | $62K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.2% | 570 | 357 | $48K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 620 | 448 | $43K |
| D0272 | Bitewings - two radiographic images | 2.9% | 2,946 | 2,919 | $43K |
8 more codes
| D2335 | 2.5% | 237 | $36K | |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 909 | $29K |
| D0240 | 1.9% | 1,365 | $28K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,433 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,028 | $6K |
| D1510 | <1% | 33 | $4K | |
| D1354 | <1% | 133 | $3K | |
| D0330 | Panoramic radiographic image | <1% | 39 | $2K |
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 officialBEULKE, KYLE (OWNER/MEMBER)