Managed care
Urban Pediatric Dental PC
Urban Pediatric Dental PC was paid $211K by Medicaid between Jan 2018 and Jun 2020, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.
33Billing provider infoURBAN PEDIATRIC DENTAL PC
NEW YORK, NY 10013
NEW YORK, NY 10013
33aNPI1699076083assigned 11/16/2010
33bProvider typeHealth Maintenance Organization
28Total paid$211K
24GClaims10,759
24DCodes billed14
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Health Maintenance Organization providers in New York
Rank by total paid#14 of 28
Median peer was paid$159K
This provider vs. median1.3×
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 | 5,370 | $109K | |
| 2019 | 3,976 | $75K | |
| 2020 | 1,413 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 32% | 2,098 | 2,098 | $68K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 2,419 | 2,419 | $52K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 2,346 | 2,346 | $26K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.2% | 208 | 194 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 6.7% | 1,349 | 1,345 | $14K |
| D0272 | Bitewings - two radiographic images | 6.0% | 1,001 | 1,001 | $13K |
| D1110 | Prophylaxis - adult | 3.5% | 175 | 175 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 1,018 | 1,018 | $6K |
| D1351 | Sealant - per tooth | 1.3% | 36 | 29 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 27 | 27 | $1K |
| D1206 | Topical application of fluoride varnish | <1% | 41 | 41 | $951.50 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 13 | 13 | $471.24 |
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 officialMARN, JESSICA (PRACTICE OWNER)
| Provider | Location | Paid |
|---|---|---|
| Marn DDS Dental Practice P.C. | Los Angeles, CA | $40.08M |
| Jessica Marn DDS Big Smiles Massachusetts P.C. | Cambridge, MA | $2.64M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.