Dental
Pediatric Dental Assoc., LTD
Pediatric Dental Assoc., LTD was paid $177K by Medicaid between Jan 2018 and Jun 2021, across 17 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL ASSOC., LTD
PHILADELPHIA, PA 19149
PHILADELPHIA, PA 19149
33aNPI1538231220assigned 11/15/2006
33bProvider typePediatric Dentist
28Total paid$177K
24GClaims9,018
24DCodes billed17
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#98 of 237
Median peer was paid$109K
This provider vs. median1.6×
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 | 3,868 | $72K | |
| 2019 | 3,990 | $84K | |
| 2020 | 1,011 | $18K | |
| 2021 | 149 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 1,561 | 1,548 | $36K |
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 1,015 | 1,001 | $35K |
| D1110 | Prophylaxis - adult | 16% | 638 | 635 | $28K |
| D0272 | Bitewings - two radiographic images | 10% | 891 | 881 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 9.0% | 806 | 806 | $16K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.4% | 422 | 377 | $15K |
| D0274 | Bitewings - four radiographic images | 7.4% | 476 | 470 | $13K |
| D1206 | Topical application of fluoride varnish | 2.7% | 236 | 234 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 319 | 305 | $4K |
| D1351 | Sealant - per tooth | 1.2% | 83 | 25 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.2% | 20 | 13 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 21 | 12 | $2K |
5 more codes
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 officialCOLL, JOANNE (INSURANCE COORDINATOR)
Parent organizationPEDIATRIC DENTAL ASSOCIATES, LTD
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dental Associates LTD | Philadelphia, PA | $15.59M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.