Dental
Medina Pediatric Dental Associates
Medina Pediatric Dental Associates was paid $1.51M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 20% of everything it billed.
33Billing provider infoMEDINA PEDIATRIC DENTAL ASSOCIATES
MEDINA, OH 44256
MEDINA, OH 44256
33aNPI1669702122assigned 01/06/2010
33bProvider typePediatric Dentist
28Total paid$1.51M
24GClaims60,131
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Ohio
Rank by total paid#22 of 144
Median peer was paid$140K
This provider vs. median11×
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 | 7,621 | $158K | |
| 2019 | 8,447 | $169K | |
| 2020 | 8,623 | $133K | |
| 2021 | 8,646 | $205K | |
| 2022 | 10,633 | $280K | |
| 2023 | 10,231 | $272K | |
| 2024incomplete | 5,930 | $293K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 20% | 2,705 | 587 | $303K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 11,578 | 10,886 | $235K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 12,611 | 11,879 | $193K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 10,056 | 9,484 | $179K |
| D7140 | Extraction, erupted tooth or exposed root | 7.0% | 1,733 | 709 | $106K |
| D1351 | Sealant - per tooth | 5.6% | 3,877 | 1,022 | $84K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 3,069 | 2,884 | $79K |
| D0330 | Panoramic radiographic image | 4.8% | 1,584 | 1,535 | $72K |
| D0272 | Bitewings - two radiographic images | 3.4% | 5,303 | 4,996 | $52K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.3% | 833 | 445 | $49K |
| D1110 | Prophylaxis - adult | 3.0% | 1,396 | 1,326 | $46K |
| D0240 | 2.0% | 3,051 | 1,184 | $29K |
6 more codes
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.7% | 371 | $25K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 481 | $25K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 958 | $23K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 160 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 248 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 117 | $567.55 |
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 officialKOZIK, JAMES (OWNER)