Dental
Capital Kids Dentistry LLC
Capital Kids Dentistry LLC was paid $123K by Medicaid between Jan 2018 and Oct 2022, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 31% of everything it billed.
33Billing provider infoCAPITAL KIDS DENTISTRY LLC
WASHINGTON, DC 20016
WASHINGTON, DC 20016
33aNPI1629451430assigned 06/30/2015
33bProvider typePediatric Dentist
28Total paid$123K
24GClaims3,101
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Pediatric Dentist providers in District of Columbia
Rank by total paid#9 of 21
Median peer was paid$56K
This provider vs. median2.2×
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 | 886 | $37K | |
| 2019 | 788 | $28K | |
| 2020 | 568 | $21K | |
| 2021 | 688 | $29K | |
| 2022 | 171 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 31% | 854 | 831 | $38K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 729 | 709 | $24K |
| D1206 | Topical application of fluoride varnish | 19% | 877 | 854 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 209 | 194 | $14K |
| D0272 | Bitewings - two radiographic images | 7.0% | 232 | 228 | $9K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.5% | 28 | 12 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.1% | 82 | 63 | $4K |
| D9310 | 2.1% | 26 | 25 | $3K | |
| D0140 | Limited oral evaluation - problem focused | 1.0% | 26 | 25 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 38 | 38 | $689.53 |
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 officialRUBIN, JESSICA (OWNER)