Dental
Bush Pediatric Dentistry
Bush Pediatric Dentistry was paid $1.26M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoBUSH PEDIATRIC DENTISTRY
MONTGOMERY, AL 36106
MONTGOMERY, AL 36106
33aNPI1578091815assigned 05/31/2017
33bProvider typePediatric Dentist
28Total paid$1.26M
24GClaims43,809
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Alabama
Rank by total paid#47 of 111
Median peer was paid$708K
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 | |
|---|---|---|---|
| 2018 | 3,075 | $118K | |
| 2019 | 2,516 | $78K | |
| 2020 | 3,353 | $101K | |
| 2021 | 4,791 | $133K | |
| 2022 | 7,130 | $166K | |
| 2023 | 7,839 | $213K | |
| 2024incomplete | 15,105 | $448K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 7,612 | 7,039 | $211K |
| D1354 | 17% | 6,037 | 1,043 | $208K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 2,292 | 342 | $137K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 6,310 | 5,872 | $129K |
| D1206 | Topical application of fluoride varnish | 10% | 5,469 | 5,009 | $128K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.7% | 1,548 | 644 | $84K |
| D0272 | Bitewings - two radiographic images | 6.1% | 4,440 | 4,088 | $76K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.5% | 1,012 | 414 | $70K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.9% | 2,878 | 2,257 | $62K |
| D0330 | Panoramic radiographic image | 3.6% | 909 | 845 | $45K |
| D1208 | Topical application of fluoride, excluding varnish | 3.1% | 2,761 | 2,554 | $39K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 1,150 | 1,059 | $32K |
12 more codes
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 136 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 122 | $5K |
| D1351 | Sealant - per tooth | <1% | 286 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 127 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 370 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 97 | $2K |
| D1999 | <1% | 156 | $2K | |
| D2332 | <1% | 19 | $2K | |
| D1110 | Prophylaxis - adult | <1% | 28 | $1K |
| D0160 | <1% | 12 | $960.00 | |
| D2330 | <1% | 25 | $944.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 13 | $403.00 |
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 officialBUSH, SAMUEL (DENTIST/OWNER)