Dental
Laurel Lakes Pediatric Dentistry, LLC
Laurel Lakes Pediatric Dentistry, LLC was paid $2.13M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoLAUREL LAKES PEDIATRIC DENTISTRY, LLC
LAUREL, MD 20707
LAUREL, MD 20707
33aNPI1649717638assigned 01/27/2017
33bProvider typePediatric Dentist
28Total paid$2.13M
24GClaims63,945
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Maryland
Rank by total paid#38 of 150
Median peer was paid$536K
This provider vs. median4.0×
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 | 3,328 | $106K | |
| 2019 | 5,270 | $143K | |
| 2020 | 5,914 | $179K | |
| 2021 | 9,691 | $344K | |
| 2022 | 12,267 | $374K | |
| 2023 | 13,128 | $475K | |
| 2024incomplete | 14,347 | $508K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 11,142 | 10,987 | $493K |
| D1206 | Topical application of fluoride varnish | 17% | 14,598 | 14,391 | $364K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 10,038 | 9,894 | $301K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 1,907 | 1,098 | $239K |
| D1351 | Sealant - per tooth | 10% | 6,257 | 1,352 | $220K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 2,315 | 2,282 | $122K |
| D0272 | Bitewings - two radiographic images | 3.9% | 5,404 | 5,325 | $84K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.7% | 3,103 | 2,779 | $58K |
| D1110 | Prophylaxis - adult | 2.1% | 682 | 678 | $44K |
| D0330 | Panoramic radiographic image | 1.9% | 942 | 933 | $41K |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 327 | 170 | $36K |
| D0274 | Bitewings - four radiographic images | 1.6% | 1,475 | 1,458 | $34K |
8 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 310 | $31K |
| D1330 | 1.4% | 4,941 | $31K | |
| D8670 | Periodic orthodontic treatment visit | <1% | 183 | $14K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 80 | $13K |
| D0140 | Limited oral evaluation - problem focused | <1% | 83 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 92 | $2K |
| D0240 | <1% | 28 | $405.00 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 38 | $342.00 |
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 officialWILSON, ANTIONETTE (OWNER)