Dental
Pediatric Dentistry of Maryland, LLC
Pediatric Dentistry of Maryland, LLC was paid $5.69M by Medicaid between Apr 2021 and Dec 2024, across 26 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 15% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF MARYLAND, LLC
RIVERDALE PARK, MD 20737
RIVERDALE PARK, MD 20737
33aNPI1609491679assigned 06/15/2020
33bProvider typePediatric Dentist
28Total paid$5.69M
24GClaims127,937
24DCodes billed26
24AFirst – last monthApr 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Maryland
Rank by total paid#11 of 150
Median peer was paid$536K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2021 | 8,952 | $351K | |
| 2022 | 28,416 | $1.22M | |
| 2023 | 40,645 | $1.76M | |
| 2024incomplete | 49,924 | $2.36M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 15% | 4,993 | 2,638 | $853K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 16,553 | 16,304 | $768K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 5,351 | 3,341 | $699K |
| D1351 | Sealant - per tooth | 9.2% | 14,639 | 3,405 | $523K |
| D1206 | Topical application of fluoride varnish | 9.2% | 20,599 | 20,292 | $522K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.3% | 13,251 | 13,063 | $413K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.7% | 7,006 | 6,880 | $379K |
| D7140 | Extraction, erupted tooth or exposed root | 5.5% | 2,522 | 1,600 | $311K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.9% | 2,176 | 1,533 | $220K |
| D0272 | Bitewings - two radiographic images | 2.7% | 9,493 | 9,345 | $154K |
| D0330 | Panoramic radiographic image | 2.5% | 3,258 | 3,197 | $144K |
| D9248 | 2.2% | 677 | 651 | $124K |
14 more codes
| D1110 | Prophylaxis - adult | 2.0% | 1,754 | $113K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.0% | 5,787 | $112K |
| D3120 | 1.6% | 2,643 | $91K | |
| D0274 | Bitewings - four radiographic images | 1.4% | 3,284 | $77K |
| D0140 | Limited oral evaluation - problem focused | <1% | 969 | $45K |
| D1330 | <1% | 6,443 | $41K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,715 | $39K |
| D2940 | <1% | 351 | $18K | |
| D0240 | <1% | 1,015 | $10K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 872 | $10K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 49 | $8K |
| D1510 | <1% | 93 | $8K | |
| D2332 | <1% | 37 | $5K | |
| D1354 | <1% | 407 | $4K |
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 officialCHO, HOJUNG (PRESIDENT)