Dental
Kool Koala Pediatric & Adolescent Dentistry LLC
Kool Koala Pediatric & Adolescent Dentistry LLC was paid $1.64M by Medicaid between Dec 2020 and Dec 2024, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoKOOL KOALA PEDIATRIC & ADOLESCENT DENTISTRY LLC
BEAR, DE 19701
BEAR, DE 19701
33aNPI1538798475assigned 04/03/2020
33bProvider typePediatric Dentist
28Total paid$1.64M
24GClaims32,850
24DCodes billed21
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Delaware
Rank by total paid#9 of 18
Median peer was paid$1.14M
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2020 | 51 | $915.00 | |
| 2021 | 3,383 | $137K | |
| 2022 | 9,064 | $460K | |
| 2023 | 9,223 | $449K | |
| 2024incomplete | 11,129 | $588K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21% | 1,367 | 561 | $339K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 4,783 | 4,702 | $257K |
| D1206 | Topical application of fluoride varnish | 11% | 5,335 | 5,250 | $172K |
| D1351 | Sealant - per tooth | 10% | 4,024 | 767 | $168K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.8% | 3,350 | 3,280 | $144K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.1% | 581 | 293 | $116K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.1% | 1,122 | 1,085 | $84K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 1,334 | 1,292 | $82K |
| D0272 | Bitewings - two radiographic images | 4.0% | 1,782 | 1,747 | $65K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.8% | 159 | 64 | $45K |
| D1110 | Prophylaxis - adult | 2.0% | 437 | 433 | $33K |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 1,296 | 1,270 | $32K |
9 more codes
| D0140 | Limited oral evaluation - problem focused | 1.8% | 453 | $29K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 1,059 | $21K |
| D0274 | Bitewings - four radiographic images | <1% | 277 | $15K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 251 | $14K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 53 | $11K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 34 | $6K |
| D0330 | Panoramic radiographic image | <1% | 16 | $1K |
| D0601 | 0% | 338 | $0.00 | |
| D0603 | 0% | 4,799 | $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 officialBALLARD, FREDERICK (OWNER/OPERATOR)
| Provider | Location | Paid |
|---|---|---|
| Kool Koala Pediatric and Adolescent Dentistry | Collingswood, NJ | $19.31M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.