Dental
Sprout Pediatric Dental
Sprout Pediatric Dental was paid $10K by Medicaid between Dec 2024 and Dec 2024, across 7 billing codes. Its largest line is D9920, — 56% of everything it billed.
33Billing provider infoSPROUT PEDIATRIC DENTAL
PITTSTON, PA 18640
PITTSTON, PA 18640
33aNPI1669150355assigned 07/11/2023
33bProvider typePediatric Dentist
28Total paid$10K
24GClaims286
24DCodes billed7
24AFirst – last monthDec 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#192 of 237
Median peer was paid$109K
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 | |
|---|---|---|---|
| 2024incomplete | 286 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9920 | 56% | 45 | 44 | $6K | |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 54 | 54 | $2K |
| D1206 | Topical application of fluoride varnish | 11% | 62 | 61 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.6% | 37 | 37 | $757.13 |
| D0603 | 3.8% | 38 | 38 | $380.00 | |
| D0272 | Bitewings - two radiographic images | 2.0% | 12 | 12 | $199.22 |
| D1330 | 1.9% | 38 | 38 | $190.00 |
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 officialSCHLOESSER, KATHERINE (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Sprout Pediatric Dental | Lake Ariel, PA | $5.70M |
| Sprout Pediatric Dental | Kingston, PA | $155K |
| Sprout Pediatric Dental | Honesdale, PA | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.