Dental
Pediatric Dental Group,llc
Pediatric Dental Group,llc was paid $48K by Medicaid between Nov 2022 and Nov 2024, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 36% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL GROUP,LLC
GAITHERSBURG, MD 20886
GAITHERSBURG, MD 20886
33aNPI1699426668assigned 01/12/2022
33bProvider typeDentist
28Total paid$48K
24GClaims1,609
24DCodes billed8
24AFirst – last monthNov 2022 – Nov 2024
Compared with peers
Next to other Dentist providers in Maryland
Rank by total paid#204 of 415
Median peer was paid$47K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2022 | 57 | $2K | |
| 2023 | 637 | $20K | |
| 2024incomplete | 915 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 36% | 370 | 370 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 23% | 479 | 479 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 148 | 148 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.1% | 123 | 123 | $4K |
| D0272 | Bitewings - two radiographic images | 5.2% | 152 | 152 | $2K |
| D1351 | Sealant - per tooth | 4.7% | 68 | 12 | $2K |
| D1330 | 3.4% | 251 | 251 | $2K | |
| D0330 | Panoramic radiographic image | 1.7% | 18 | 18 | $827.10 |
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 officialTOFIGH, AMIR (MEMBER)