Clinic
The Pediatric Dental Studio, LLC
The Pediatric Dental Studio, LLC was paid $2.23M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D1351, Sealant - per tooth — 18% of everything it billed.
33Billing provider infoTHE PEDIATRIC DENTAL STUDIO, LLC
PEARL, MS 39208
PEARL, MS 39208
33aNPI1699197574assigned 01/13/2014
33bProvider typeDental Clinic/Center
28Total paid$2.23M
24GClaims86,911
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Mississippi
Rank by total paid#2 of 53
Median peer was paid$44K
This provider vs. median51×
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 | 1,331 | $26K | |
| 2019 | 1,775 | $31K | |
| 2020 | 532 | $16K | |
| 2021 | 14,434 | $391K | |
| 2022 | 25,111 | $595K | |
| 2023 | 21,497 | $570K | |
| 2024incomplete | 22,231 | $601K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 18% | 16,160 | 2,731 | $401K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 9,977 | 8,904 | $268K |
| D7140 | Extraction, erupted tooth or exposed root | 9.5% | 2,961 | 870 | $212K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.1% | 8,373 | 7,429 | $204K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.8% | 1,816 | 255 | $197K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.6% | 21,229 | 4,946 | $193K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.5% | 1,647 | 868 | $167K |
| D1206 | Topical application of fluoride varnish | 7.1% | 7,158 | 6,426 | $159K |
| D0210 | Intraoral - complete series of radiographic images | 3.9% | 1,498 | 1,318 | $87K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 5,999 | 5,328 | $73K |
| D0140 | Limited oral evaluation - problem focused | 2.6% | 1,646 | 1,387 | $57K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 2,062 | 1,796 | $50K |
9 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 1,268 | $46K |
| D1208 | Topical application of fluoride, excluding varnish | 1.7% | 2,763 | $39K |
| D0274 | Bitewings - four radiographic images | 1.1% | 1,013 | $25K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 271 | $21K |
| D0330 | Panoramic radiographic image | <1% | 384 | $18K |
| D0272 | Bitewings - two radiographic images | <1% | 559 | $11K |
| D1110 | Prophylaxis - adult | <1% | 79 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 28 | $978.64 |
| D1310 | 0% | 20 | $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 officialROSE, JERRICK (OWNER)