Dental
White Marsh Pediatric Dentistry, LLC
White Marsh Pediatric Dentistry, LLC was paid $3.11M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D1351, Sealant - per tooth — 17% of everything it billed.
33Billing provider infoWHITE MARSH PEDIATRIC DENTISTRY, LLC
WHITE MARSH, MD 21162
WHITE MARSH, MD 21162
33aNPI1629208582assigned 07/24/2009
33bProvider typePediatric Dentist
28Total paid$3.11M
24GClaims90,933
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Maryland
Rank by total paid#28 of 150
Median peer was paid$536K
This provider vs. median5.8×
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 | 16,031 | $545K | |
| 2019 | 16,730 | $581K | |
| 2020 | 8,982 | $296K | |
| 2021 | 10,918 | $381K | |
| 2022 | 13,226 | $425K | |
| 2023 | 14,002 | $501K | |
| 2024incomplete | 11,044 | $377K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 17% | 15,604 | 2,808 | $524K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 11,566 | 11,352 | $489K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 12,257 | 12,030 | $351K |
| D1206 | Topical application of fluoride varnish | 11% | 13,526 | 13,278 | $326K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.0% | 2,293 | 1,513 | $278K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.9% | 1,389 | 725 | $215K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.2% | 1,735 | 1,177 | $160K |
| D1110 | Prophylaxis - adult | 4.1% | 2,260 | 2,220 | $129K |
| D7140 | Extraction, erupted tooth or exposed root | 3.3% | 979 | 591 | $102K |
| D0272 | Bitewings - two radiographic images | 3.0% | 6,132 | 6,037 | $92K |
| D0330 | Panoramic radiographic image | 2.2% | 1,650 | 1,619 | $68K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 1,441 | 1,397 | $61K |
12 more codes
| D0274 | Bitewings - four radiographic images | 1.9% | 2,790 | $60K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.8% | 3,066 | $56K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 890 | $46K |
| D1330 | 1.4% | 7,165 | $44K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,853 | $27K |
| D0240 | <1% | 1,375 | $19K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 389 | $16K |
| D9310 | <1% | 305 | $15K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 635 | $14K |
| D3120 | <1% | 372 | $13K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 249 | $2K |
| D0270 | <1% | 12 | $108.00 |
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 officialSHIH, SANDRA (DENTIST/MANAGER)