Clinic
Pediatric Dental Initiative of the North Coast, INC.
Pediatric Dental Initiative of the North Coast, INC. was paid $17.40M by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 27% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST, INC.
WINDSOR, CA 95492
WINDSOR, CA 95492
33aNPI1598993198assigned 06/23/2009
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$17.40M
24GClaims231,589
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in California
Rank by total paid#5 of 347
Median peer was paid$191K
This provider vs. median91×
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 | 43,013 | $3.16M | |
| 2019 | 37,680 | $2.89M | |
| 2020 | 26,306 | $2.06M | |
| 2021 | 37,105 | $2.89M | |
| 2022 | 34,158 | $2.60M | |
| 2023 | 26,177 | $1.94M | |
| 2024incomplete | 27,150 | $1.86M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 27% | 39,944 | 7,374 | $4.72M |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 12% | 7,564 | 7,391 | $2.04M |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 8.9% | 14,671 | 4,291 | $1.55M |
| 99201 | 8.5% | 14,376 | 4,435 | $1.47M | |
| D7140 | Extraction, erupted tooth or exposed root | 6.7% | 20,353 | 5,725 | $1.16M |
| D9420 | 5.4% | 12,524 | 8,717 | $942K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 5.4% | 9,459 | 4,063 | $936K |
| 41899 | Unlisted procedure, dentoalveolar structures | 5.3% | 8,998 | 8,794 | $927K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 4.1% | 9,288 | 8,725 | $710K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 7,246 | 7,234 | $458K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.5% | 6,636 | 2,417 | $443K |
| D2330 | 1.9% | 4,303 | 1,774 | $330K |
17 more codes
| D1120 | Dental cleaning, child | 1.7% | 8,688 | $302K |
| D0350 | 1.6% | 14,997 | $280K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 18,172 | $206K |
| D2932 | 1.1% | 1,786 | $187K | |
| D2929 | <1% | 1,663 | $162K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 8,622 | $153K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,979 | $106K |
| D0272 | Bitewings - two radiographic images | <1% | 8,686 | $102K |
| D2331 | <1% | 976 | $77K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 520 | $41K |
| D1351 | Sealant - per tooth | <1% | 2,595 | $37K |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 2,591 | $33K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 331 | $17K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 93 | $3K |
| D2332 | <1% | 24 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 50 | $2K |
| D3120 | 0% | 4,454 | $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 officialTUCKER, JULIE (ADMINISTRATOR/DIRECTOR OF NURSING)
| Provider | Location | Paid |
|---|---|---|
| Alleghany Memorial Hospital | Sparta, NC | $127K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.