Clinic
Pediatric Dental Associates of Cullman, LLC
Pediatric Dental Associates of Cullman, LLC was paid $2.82M by Medicaid between Feb 2018 and Dec 2024, across 24 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL ASSOCIATES OF CULLMAN, LLC
CULLMAN, AL 35055
CULLMAN, AL 35055
33aNPI1609374164assigned 01/30/2018
33bProvider typeDental Clinic/Center
28Total paid$2.82M
24GClaims117,875
24DCodes billed24
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Alabama
Rank by total paid#1 of 59
Median peer was paid$28K
This provider vs. median99×
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 | 5,249 | $79K | |
| 2019 | 5,587 | $103K | |
| 2020 | 9,961 | $198K | |
| 2021 | 20,171 | $421K | |
| 2022 | 24,040 | $549K | |
| 2023 | 24,907 | $668K | |
| 2024incomplete | 27,960 | $805K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 18,080 | 16,927 | $491K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 17,098 | 15,961 | $316K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 20,984 | 19,607 | $295K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 9.7% | 2,702 | 1,533 | $275K |
| D1999 | 7.5% | 12,419 | 11,161 | $212K | |
| D0272 | Bitewings - two radiographic images | 5.7% | 9,380 | 8,921 | $160K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.6% | 2,206 | 1,459 | $159K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.3% | 7,372 | 6,486 | $151K |
| D0330 | Panoramic radiographic image | 5.3% | 3,361 | 3,177 | $150K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 4,847 | 4,511 | $123K |
| D1351 | Sealant - per tooth | 3.4% | 4,619 | 1,267 | $97K |
| D7140 | Extraction, erupted tooth or exposed root | 3.0% | 1,669 | 1,051 | $85K |
12 more codes
| D0140 | Limited oral evaluation - problem focused | 2.4% | 2,850 | $68K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.9% | 928 | $55K |
| D1110 | Prophylaxis - adult | 1.3% | 942 | $36K |
| D0240 | 1.3% | 2,198 | $35K | |
| D1206 | Topical application of fluoride varnish | 1.2% | 1,610 | $33K |
| D1354 | 1.2% | 948 | $33K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,635 | $17K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 587 | $13K |
| D0274 | Bitewings - four radiographic images | <1% | 449 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 951 | $8K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 27 | $1K |
| D2332 | <1% | 13 | $1K |
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 officialCHAMBLISS, RICHARD (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dental Associates, LLC | Pell City, AL | $5.50M |
| Medplex Pediatric Dentistry, INC. | Birmingham, AL | $3.89M |
| Oxford Pediatric Dental Associates LLC | Oxford, AL | $3.57M |
| Pediatric Dental Associates of Cahaba Heights, LLC | Vestavia, AL | $33K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.