Dental
Charm Pediatric Dentistry, LLC
Charm Pediatric Dentistry, LLC was paid $454K by Medicaid between Dec 2022 and Dec 2024, across 23 billing codes. Its largest line is D1351, Sealant - per tooth — 17% of everything it billed.
33Billing provider infoCHARM PEDIATRIC DENTISTRY, LLC
BLUE BELL, PA 19422
BLUE BELL, PA 19422
33aNPI1649439613assigned 06/05/2008
33bProvider typePediatric Dentist
28Total paid$454K
24GClaims21,292
24DCodes billed23
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#44 of 237
Median peer was paid$109K
This provider vs. median4.2×
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 | |
|---|---|---|---|
| 2022 | 15 | $300.00 | |
| 2023 | 315 | $6K | |
| 2024incomplete | 20,962 | $448K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 17% | 2,026 | 456 | $75K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 2,911 | 2,773 | $61K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 2,295 | 2,171 | $48K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 1,937 | 1,842 | $47K |
| D1110 | Prophylaxis - adult | 9.7% | 1,213 | 1,168 | $44K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.4% | 436 | 305 | $29K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.0% | 748 | 651 | $27K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.2% | 442 | 297 | $24K |
| D0603 | 3.5% | 1,668 | 1,596 | $16K | |
| D0274 | Bitewings - four radiographic images | 3.0% | 471 | 448 | $14K |
| D0272 | Bitewings - two radiographic images | 2.7% | 715 | 685 | $12K |
| D0330 | Panoramic radiographic image | 2.3% | 290 | 276 | $10K |
11 more codes
| D1330 | 1.8% | 1,711 | $8K | |
| D1310 | 1.8% | 1,706 | $8K | |
| D1354 | 1.7% | 753 | $8K | |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 809 | $6K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.1% | 39 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 501 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 186 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 127 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 22 | $1K |
| D3120 | <1% | 65 | $64.80 | |
| D9215 | 0% | 221 | $0.00 |
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 officialSUH, YOOSUNG (OWNER)