Dental
Elm Pediatric Dentistry, PLLC
Elm Pediatric Dentistry, PLLC was paid $3K by Medicaid between Jul 2024 and Sep 2024, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 63% of everything it billed.
33Billing provider infoELM PEDIATRIC DENTISTRY, PLLC
CRESTWOOD, KY 40014
CRESTWOOD, KY 40014
33aNPI1578255055assigned 05/23/2023
33bProvider typePediatric Dentist
28Total paid$3K
24GClaims82
24DCodes billed3
24AFirst – last monthJul 2024 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Kentucky
Rank by total paid#128 of 134
Median peer was paid$467K
This provider vs. median0.0×
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 | 82 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 63% | 33 | 33 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 21% | 20 | 20 | $617.50 |
| D1206 | Topical application of fluoride varnish | 16% | 29 | 28 | $487.50 |
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 officialRODENBERG, AUSTIN (DENTIST, OWNER)