Dental
Sprout Pediatric Dental
Sprout Pediatric Dental was paid $155K by Medicaid between Mar 2024 and Dec 2024, across 17 billing codes. Its largest line is D9920, — 53% of everything it billed.
33Billing provider infoSPROUT PEDIATRIC DENTAL
KINGSTON, PA 18704
KINGSTON, PA 18704
33aNPI1558080804assigned 08/22/2022
33bProvider typePediatric Dentist
28Total paid$155K
24GClaims4,156
24DCodes billed17
24AFirst – last monthMar 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#108 of 237
Median peer was paid$109K
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 | |
|---|---|---|---|
| 2024incomplete | 4,156 | $155K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9920 | 53% | 661 | 624 | $81K | |
| D1120 | Dental cleaning, childProphylaxis - child | 9.8% | 512 | 504 | $15K |
| D1206 | Topical application of fluoride varnish | 9.1% | 769 | 732 | $14K |
| D1351 | Sealant - per tooth | 6.4% | 146 | 120 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.3% | 477 | 471 | $10K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.7% | 136 | 124 | $6K |
| D0603 | 2.9% | 458 | 454 | $5K | |
| D0272 | Bitewings - two radiographic images | 2.1% | 196 | 194 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.7% | 31 | 26 | $3K |
| D1330 | 1.5% | 461 | 457 | $2K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 89 | 87 | $2K |
| D1110 | Prophylaxis - adult | <1% | 38 | 38 | $1K |
5 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 14 | $970.92 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 112 | $961.77 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 32 | $405.97 |
| D0274 | Bitewings - four radiographic images | <1% | 12 | $358.72 |
| D9110 | <1% | 12 | $344.76 |
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 officialSCHLOESSER, KATHERINE (PEDIATRIC DENTIST)
Parent organizationSPROUT PEDIATRIC DENTAL
| Provider | Location | Paid |
|---|---|---|
| Sprout Pediatric Dental | Lake Ariel, PA | $5.70M |
| Sprout Pediatric Dental | Pittston, PA | $10K |
| Sprout Pediatric Dental | Honesdale, PA | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.