Dental
Bluegrass Pediatric Dentistry
Bluegrass Pediatric Dentistry was paid $2.32M by Medicaid between Jan 2018 and Feb 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoBLUEGRASS PEDIATRIC DENTISTRY
RICHMOND, KY 40475
RICHMOND, KY 40475
33aNPI1619284148assigned 09/03/2010
33bProvider typePediatric Dentist
28Total paid$2.32M
24GClaims69,821
24DCodes billed22
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Pediatric Dentist providers in Kentucky
Rank by total paid#21 of 134
Median peer was paid$467K
This provider vs. median5.0×
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 | 31,858 | $1.00M | |
| 2019 | 32,197 | $1.07M | |
| 2020 | 28 | $492.00 | |
| 2022 | 1,896 | $73K | |
| 2023 | 3,621 | $160K | |
| 2024incomplete | 221 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 10,122 | 9,804 | $471K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 4,883 | 2,517 | $311K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 10,679 | 10,346 | $267K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 2,555 | 988 | $264K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.6% | 3,467 | 2,100 | $177K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.8% | 4,454 | 4,189 | $157K |
| D0272 | Bitewings - two radiographic images | 6.6% | 8,825 | 8,465 | $154K |
| D1208 | Topical application of fluoride, excluding varnish | 6.4% | 10,277 | 9,920 | $148K |
| D7140 | Extraction, erupted tooth or exposed root | 4.6% | 2,377 | 1,111 | $107K |
| D0330 | Panoramic radiographic image | 2.6% | 1,599 | 1,518 | $59K |
| D1110 | Prophylaxis - adult | 1.9% | 950 | 920 | $44K |
| D1351 | Sealant - per tooth | 1.9% | 2,546 | 1,086 | $44K |
10 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 2,731 | $25K |
| D0120 | Dental checkup, returning patient | <1% | 957 | $22K |
| D1206 | Topical application of fluoride varnish | <1% | 1,075 | $18K |
| D9420 | <1% | 381 | $16K | |
| D2332 | <1% | 191 | $12K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,516 | $9K |
| D0140 | Limited oral evaluation - problem focused | <1% | 116 | $4K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 42 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 33 | $2K |
| D9110 | <1% | 45 | $930.23 |
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 officialBOWEN, JEFFREY (DENTIST)