Dental
Pediatric Dental Care, LLC
Pediatric Dental Care, LLC was paid $58K by Medicaid between May 2019 and Mar 2024, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL CARE, LLC
FREDERICK, MD 21701
FREDERICK, MD 21701
33aNPI1639554876assigned 07/29/2015
33bProvider typePediatric Dentist
28Total paid$58K
24GClaims1,840
24DCodes billed6
24AFirst – last monthMay 2019 – Mar 2024
Compared with peers
Next to other Pediatric Dentist providers in Maryland
Rank by total paid#121 of 150
Median peer was paid$536K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 26 | $623.00 | |
| 2020 | 111 | $3K | |
| 2021 | 278 | $9K | |
| 2022 | 567 | $17K | |
| 2023 | 704 | $23K | |
| 2024incomplete | 154 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 41% | 558 | 541 | $24K |
| D1206 | Topical application of fluoride varnish | 33% | 807 | 787 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 382 | 370 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.9% | 55 | 55 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 26 | 26 | $409.74 |
| D1330 | <1% | 12 | 12 | $72.00 |
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 officialPARYAVI, FARIBA (PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dental Care | North Potomac, MD | $318K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.