Kids Dental Care, LLC

Kids Dental Care, LLC was paid $5.87M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 32% of everything it billed.

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	20,663	$1.02M
2019	14,213	$641K
2020	9,397	$491K
2021	12,885	$899K
2022	13,264	$897K
2023	14,663	$860K
2024incomplete	17,493	$1.06M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2930	Prefabricated stainless steel crown - primary tooth	32%	10,207	1,859	$1.88M
D1120	Dental cleaning, childProphylaxis - child	11%	16,254	15,050	$639K
D2391	Resin-based composite - one surface, posterior, primary or permanent	8.6%	6,488	3,316	$508K
D7140	Extraction, erupted tooth or exposed root	7.3%	4,145	1,663	$429K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	6.8%	13,780	12,635	$398K
D1208	Topical application of fluoride, excluding varnish	6.6%	15,881	14,681	$391K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	6.2%	3,912	2,130	$362K
D0330	Panoramic radiographic image	3.3%	3,272	3,047	$192K
D0140	Limited oral evaluation - problem focused	2.6%	3,503	3,325	$152K
D0272	Bitewings - two radiographic images	2.4%	5,167	4,826	$144K
D0274	Bitewings - four radiographic images	2.1%	3,235	2,941	$122K
D9420		2.0%	1,364	1,280	$118K

22 more codes

D0150	Comprehensive oral evaluation - new or established patient	1.8%	2,023	$106K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	1.4%	1,457	$81K
D1351	Sealant - per tooth	1.2%	2,264	$72K
D8670	Periodic orthodontic treatment visit	1.2%	5,944	$69K
D2934		1.1%	460	$66K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	1.1%	535	$63K
D1510		<1%	179	$29K
D0220	Intraoral - periapical first radiographic image	<1%	1,219	$20K
D2330		<1%	168	$15K
D1110	Prophylaxis - adult	<1%	213	$5K
D7111		<1%	50	$4K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	18	$2K
D8660		<1%	64	$2K
D0230	Intraoral - periapical each additional radiographic image	<1%	74	$909.84
D0210	Intraoral - complete series of radiographic images	<1%	16	$590.85
D1999		0%	133	$0.00
D9110		0%	13	$0.00
D0160		0%	13	$0.00
D0601		0%	37	$0.00
D3120		0%	51	$0.00
D0603		0%	330	$0.00
D0602		0%	109	$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 officialIDLIBI, AMMAR (OWNER)