Dental
Montgomery Pediatric Dental Partners, LLC
Montgomery Pediatric Dental Partners, LLC was paid $427K by Medicaid between Nov 2022 and Dec 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoMONTGOMERY PEDIATRIC DENTAL PARTNERS, LLC
ROCKVILLE, MD 20850
ROCKVILLE, MD 20850
33aNPI1629707492assigned 06/07/2022
33bProvider typePediatric Dentist
28Total paid$427K
24GClaims13,243
24DCodes billed17
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Maryland
Rank by total paid#84 of 150
Median peer was paid$536K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2022 | 667 | $17K | |
| 2023 | 5,170 | $165K | |
| 2024incomplete | 7,406 | $245K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 2,668 | 2,647 | $128K |
| D1206 | Topical application of fluoride varnish | 17% | 2,861 | 2,839 | $74K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 2,296 | 2,279 | $72K |
| D1351 | Sealant - per tooth | 12% | 1,296 | 317 | $51K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.6% | 144 | 107 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 312 | 309 | $17K |
| D0272 | Bitewings - two radiographic images | 3.7% | 956 | 952 | $16K |
| D1330 | 2.4% | 1,499 | 1,483 | $10K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 486 | 449 | $10K |
| D0330 | Panoramic radiographic image | 1.8% | 163 | 163 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | 1.6% | 50 | 36 | $7K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 134 | 132 | $6K |
5 more codes
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 officialBEHESHTI, REZA (CO-OWNER)
| Provider | Location | Paid |
|---|---|---|
| Smile Care 4 Children, LLC | Silver Spring, MD | $10.53M |
| Just 4 Kidz Dentistry, LLC | Rockville, MD | $1.05M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.