Clinic
Canton Pediatric Dental Center, LLC
Canton Pediatric Dental Center, LLC was paid $1.37M by Medicaid between Jun 2018 and Dec 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoCANTON PEDIATRIC DENTAL CENTER, LLC
WOOSTER, OH 44691
WOOSTER, OH 44691
33aNPI1588069587assigned 11/03/2014
33bProvider typeDental Clinic/Center
28Total paid$1.37M
24GClaims57,075
24DCodes billed18
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Ohio
Rank by total paid#24 of 111
Median peer was paid$236K
This provider vs. median5.8×
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 | 2,618 | $25K | |
| 2019 | 5,881 | $70K | |
| 2020 | 6,535 | $109K | |
| 2021 | 9,381 | $190K | |
| 2022 | 11,113 | $210K | |
| 2023 | 9,138 | $197K | |
| 2024incomplete | 12,409 | $566K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 11,376 | 10,690 | $258K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 1,319 | 317 | $195K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 10,991 | 10,328 | $190K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 8,783 | 8,303 | $177K |
| D7140 | Extraction, erupted tooth or exposed root | 10% | 1,842 | 717 | $140K |
| D0240 | 5.0% | 5,711 | 2,600 | $69K | |
| D0330 | Panoramic radiographic image | 5.0% | 1,152 | 1,124 | $68K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 2,306 | 2,160 | $68K |
| D0272 | Bitewings - two radiographic images | 3.7% | 4,653 | 4,422 | $51K |
| D0140 | Limited oral evaluation - problem focused | 3.0% | 1,519 | 1,472 | $41K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.7% | 532 | 525 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 3,516 | 3,382 | $22K |
6 more codes
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.5% | 214 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 2,757 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.1% | 139 | $15K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 199 | $13K |
| D0270 | <1% | 24 | $122.50 | |
| D1999 | 0% | 42 | $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 officialARANMOLATE, SAFURATU (PEDIATRIC DENTIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Canton Pediatric Dental Center | Canton, OH | $8.83M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.