Dental
Pediatric Dental Associates, LLC
Pediatric Dental Associates, LLC was paid $5.50M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL ASSOCIATES, LLC
PELL CITY, AL 35125
PELL CITY, AL 35125
33aNPI1700056124assigned 03/03/2008
33bProvider typePediatric Dentist
28Total paid$5.50M
24GClaims217,820
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Alabama
Rank by total paid#14 of 111
Median peer was paid$708K
This provider vs. median7.8×
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 | 21,216 | $484K | |
| 2019 | 21,403 | $515K | |
| 2020 | 31,118 | $718K | |
| 2021 | 34,556 | $890K | |
| 2022 | 40,480 | $1.05M | |
| 2023 | 36,563 | $965K | |
| 2024incomplete | 32,484 | $879K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 28,944 | 27,793 | $805K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 7,163 | 3,113 | $698K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 34,740 | 33,353 | $643K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 39,353 | 37,659 | $564K |
| D1999 | 8.0% | 23,331 | 21,373 | $442K | |
| D0330 | Panoramic radiographic image | 5.6% | 6,830 | 6,489 | $306K |
| D0272 | Bitewings - two radiographic images | 5.4% | 17,176 | 16,496 | $294K |
| D1110 | Prophylaxis - adult | 5.1% | 7,704 | 7,384 | $278K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.1% | 3,000 | 1,988 | $227K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.1% | 10,800 | 9,755 | $224K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 3,199 | 2,050 | $194K |
| D1351 | Sealant - per tooth | 3.4% | 8,091 | 2,233 | $189K |
10 more codes
| D7140 | Extraction, erupted tooth or exposed root | 3.2% | 3,247 | $175K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 4,736 | $117K |
| D0274 | Bitewings - four radiographic images | 2.1% | 5,156 | $115K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 2,336 | $60K |
| D0240 | 1.0% | 3,611 | $57K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,564 | $37K |
| D1206 | Topical application of fluoride varnish | <1% | 2,023 | $29K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,239 | $28K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,484 | $14K |
| D1354 | <1% | 93 | $2K |
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 officialCHAMBLISS, RICHARD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Medplex Pediatric Dentistry, INC. | Birmingham, AL | $3.89M |
| Oxford Pediatric Dental Associates LLC | Oxford, AL | $3.57M |
| Pediatric Dental Associates of Cullman, LLC | Cullman, AL | $2.82M |
| Pediatric Dental Associates of Cahaba Heights, LLC | Vestavia, AL | $33K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.