Dental
The Pediatric Dental Clinic
The Pediatric Dental Clinic was paid $2.99M by Medicaid between Jul 2020 and Dec 2024, across 27 billing codes. Its largest line is D1120, dental cleaning, child — 13% of everything it billed.
33Billing provider infoTHE PEDIATRIC DENTAL CLINIC
FLORENCE, AL 35630
FLORENCE, AL 35630
33aNPI1679196307assigned 05/28/2020
33bProvider typePediatric Dentist
28Total paid$2.99M
24GClaims117,523
24DCodes billed27
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Alabama
Rank by total paid#29 of 111
Median peer was paid$708K
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 | |
|---|---|---|---|
| 2020 | 13,379 | $211K | |
| 2021 | 25,668 | $678K | |
| 2022 | 27,586 | $705K | |
| 2023 | 27,895 | $713K | |
| 2024incomplete | 22,995 | $680K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 15,991 | 14,662 | $377K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 10% | 3,055 | 1,747 | $312K |
| D1999 | 9.9% | 15,777 | 14,430 | $296K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.5% | 15,028 | 14,212 | $283K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.7% | 2,992 | 1,947 | $231K |
| D1208 | Topical application of fluoride, excluding varnish | 7.4% | 16,297 | 14,839 | $220K |
| D1110 | Prophylaxis - adult | 4.9% | 4,195 | 3,837 | $146K |
| D0330 | Panoramic radiographic image | 4.4% | 3,040 | 2,783 | $132K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.2% | 6,040 | 5,320 | $126K |
| D0272 | Bitewings - two radiographic images | 4.0% | 7,425 | 6,635 | $120K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.6% | 1,741 | 1,235 | $108K |
| D1351 | Sealant - per tooth | 3.6% | 5,288 | 1,151 | $106K |
15 more codes
| D1206 | Topical application of fluoride varnish | 3.3% | 4,005 | $98K |
| D7140 | Extraction, erupted tooth or exposed root | 3.1% | 1,829 | $94K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 4,038 | $87K |
| D0140 | Limited oral evaluation - problem focused | 2.8% | 3,071 | $84K |
| D1354 | 1.9% | 1,716 | $58K | |
| D0274 | Bitewings - four radiographic images | 1.3% | 1,646 | $38K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,412 | $25K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,156 | $21K |
| D2330 | <1% | 184 | $7K | |
| D7961 | <1% | 45 | $6K | |
| D7962 | <1% | 39 | $5K | |
| D0240 | <1% | 201 | $3K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 208 | $2K |
| D2332 | <1% | 20 | $2K | |
| D9430 | 0% | 84 | $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 officialDISON, PENNY (RECEPTIONIST)