Dental
Cook Pediatric Dentistry
Cook Pediatric Dentistry was paid $93K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoCOOK PEDIATRIC DENTISTRY
NEWBURGH, IN 47630
NEWBURGH, IN 47630
33aNPI1689043085assigned 09/16/2015
33bProvider typePediatric Dentist
28Total paid$93K
24GClaims4,499
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#98 of 155
Median peer was paid$414K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2018 | 462 | $0.00 | |
| 2024incomplete | 4,037 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 800 | 776 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 856 | 823 | $18K |
| D1206 | Topical application of fluoride varnish | 19% | 885 | 858 | $18K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.7% | 53 | 18 | $7K |
| D0272 | Bitewings - two radiographic images | 6.7% | 308 | 302 | $6K |
| D1110 | Prophylaxis - adult | 4.4% | 103 | 96 | $4K |
| D0330 | Panoramic radiographic image | 3.3% | 58 | 55 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 2.8% | 21 | 12 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.7% | 90 | 83 | $3K |
| D9920 | 2.4% | 42 | 38 | $2K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 31 | 31 | $2K |
| D1330 | 0% | 626 | 617 | $0.00 |
1 more codes
| D1310 | 0% | 626 | $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 officialCOOK, SEAN (OWNER)