Dental
Pediatric and Family Dental Group LLC
Pediatric and Family Dental Group LLC was paid $1.52M by Medicaid between Sep 2018 and Apr 2024, across 29 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.
33Billing provider infoPEDIATRIC AND FAMILY DENTAL GROUP LLC
ORLANDO, FL 32809
ORLANDO, FL 32809
33aNPI1710388269assigned 09/15/2014
33bProvider typeDentist
28Total paid$1.52M
24GClaims63,387
24DCodes billed29
24AFirst – last monthSep 2018 – Apr 2024
Compared with peers
Next to other Dentist providers in Florida
Rank by total paid#27 of 542
Median peer was paid$25K
This provider vs. median60×
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 | 2,401 | $52K | |
| 2019 | 1,230 | $14K | |
| 2020 | 11,065 | $320K | |
| 2021 | 3,218 | $66K | |
| 2022 | 27,623 | $648K | |
| 2023 | 17,337 | $413K | |
| 2024incomplete | 513 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 4,266 | 4,223 | $275K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 4,896 | 2,434 | $256K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 1,251 | 861 | $196K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 12% | 1,450 | 1,003 | $184K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 2,446 | 2,422 | $162K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.5% | 3,229 | 3,063 | $68K |
| D7140 | Extraction, erupted tooth or exposed root | 4.3% | 2,580 | 1,434 | $65K |
| D0210 | Intraoral - complete series of radiographic images | 4.0% | 565 | 560 | $62K |
| D1510 | 3.9% | 160 | 139 | $59K | |
| D0240 | 3.6% | 3,771 | 3,456 | $55K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 1,301 | 853 | $32K |
| D1351 | Sealant - per tooth | 1.7% | 2,455 | 934 | $26K |
17 more codes
| D0140 | Limited oral evaluation - problem focused | 1.3% | 1,314 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 3,668 | $19K |
| D9248 | <1% | 788 | $9K | |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 341 | $8K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 103 | $6K |
| D1120 | Dental cleaning, child | <1% | 5,911 | $6K |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 144 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 3,506 | $2K |
| D1999 | <1% | 46 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 6,587 | $2K |
| D1110 | Prophylaxis - adult | <1% | 51 | $2K |
| D0330 | Panoramic radiographic image | <1% | 237 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 5,928 | $994.90 |
| D2330 | <1% | 34 | $407.31 | |
| D3120 | <1% | 86 | $382.00 | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 144 | $207.00 |
| D1330 | <1% | 6,129 | $123.55 |
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 officialESPEJO, JOCELYN (PRACTICE MANAGER)