Dental
Holdbrook Pediatric Dental, LLC
Holdbrook Pediatric Dental, LLC was paid $4.11M by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoHOLDBROOK PEDIATRIC DENTAL, LLC
SWEDESBORO, NJ 08085
SWEDESBORO, NJ 08085
33aNPI1679811129assigned 01/17/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$4.11M
24GClaims122,528
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#12 of 790
Median peer was paid$43K
This provider vs. median96×
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 | 21,248 | $1.02M | |
| 2019 | 21,528 | $875K | |
| 2020 | 20,396 | $638K | |
| 2021 | 29,846 | $895K | |
| 2022 | 17,436 | $410K | |
| 2023 | 5,877 | $145K | |
| 2024incomplete | 6,197 | $129K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 15,713 | 15,663 | $663K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 14,888 | 14,851 | $642K |
| D1206 | Topical application of fluoride varnish | 12% | 15,998 | 15,947 | $480K |
| D7140 | Extraction, erupted tooth or exposed root | 7.8% | 2,804 | 1,536 | $319K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.4% | 2,605 | 1,504 | $265K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.7% | 1,846 | 1,207 | $195K |
| D0272 | Bitewings - two radiographic images | 4.1% | 5,706 | 5,667 | $167K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.7% | 963 | 488 | $154K |
| D0274 | Bitewings - four radiographic images | 3.6% | 4,867 | 4,856 | $148K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 3,263 | 3,258 | $140K |
| D1110 | Prophylaxis - adult | 3.3% | 2,614 | 2,608 | $135K |
| D1351 | Sealant - per tooth | 2.7% | 2,758 | 860 | $111K |
20 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 1,153 | $106K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.5% | 6,009 | $103K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 6,597 | $92K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 5,455 | $67K |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 1,486 | $58K |
| D0210 | Intraoral - complete series of radiographic images | 1.2% | 685 | $51K |
| D0602 | 1.1% | 5,116 | $44K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 323 | $38K |
| D0330 | Panoramic radiographic image | <1% | 746 | $32K |
| D0240 | <1% | 1,472 | $28K | |
| D0601 | <1% | 3,294 | $26K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 256 | $23K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 483 | $11K |
| D0603 | <1% | 836 | $7K | |
| D9420 | <1% | 12 | $4K | |
| D2140 | <1% | 17 | $2K | |
| D9310 | <1% | 36 | $720.00 | |
| D0273 | <1% | 25 | $601.62 | |
| D1330 | 0% | 3,072 | $0.00 | |
| D1999 | 0% | 11,430 | $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 officialHOLDBROOK, WENDELL (OWNER)