Dental
Elizabethtown Pediatric Dentistry
Elizabethtown Pediatric Dentistry was paid $500K by Medicaid between Jun 2021 and Dec 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 36% of everything it billed.
33Billing provider infoELIZABETHTOWN PEDIATRIC DENTISTRY
ELIZABETHTOWN, KY 42701
ELIZABETHTOWN, KY 42701
33aNPI1659910792assigned 01/06/2020
33bProvider typePediatric Dentist
28Total paid$500K
24GClaims13,516
24DCodes billed17
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Kentucky
Rank by total paid#66 of 134
Median peer was paid$467K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2021 | 136 | $4K | |
| 2022 | 442 | $16K | |
| 2023 | 5,288 | $198K | |
| 2024incomplete | 7,650 | $282K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 36% | 3,177 | 3,071 | $180K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 2,371 | 2,311 | $63K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 495 | 200 | $57K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 3,247 | 3,135 | $57K |
| D0330 | Panoramic radiographic image | 5.1% | 441 | 428 | $26K |
| D0272 | Bitewings - two radiographic images | 5.0% | 1,149 | 1,129 | $25K |
| D7140 | Extraction, erupted tooth or exposed root | 4.7% | 301 | 157 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.6% | 740 | 719 | $23K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.6% | 609 | 562 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.7% | 122 | 97 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 486 | 468 | $5K |
| D1351 | Sealant - per tooth | <1% | 125 | 40 | $3K |
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 officialANWER, BEENASH (OWNER/ PROVIDER)