Marlborough Village Pediatric Dental

Marlborough Village Pediatric Dental was paid $516K by Medicaid between Nov 2018 and Dec 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.

33Billing provider infoMARLBOROUGH VILLAGE PEDIATRIC DENTAL
UPPER MARLBORO, MD 20772

33aNPI1710473731assigned 07/02/2018

33bProvider typePediatric Dentist

28Total paid$516K

24GClaims16,006

24DCodes billed17

24AFirst – last monthNov 2018 – Dec 2024

Compared with peers

Next to other Pediatric Dentist providers in Maryland

Rank by total paid#77 of 150

Median peer was paid$536K

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
2018	12	$618.00
2019	426	$12K
2020	947	$27K
2021	2,018	$56K
2022	2,795	$86K
2023	4,183	$142K
2024incomplete	5,625	$192K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	32%	3,673	3,633	$167K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	2,976	2,946	$91K
D1206	Topical application of fluoride varnish	13%	2,676	2,653	$68K
D0150	Comprehensive oral evaluation - new or established patient	8.4%	804	798	$43K
D0272	Bitewings - two radiographic images	6.6%	2,144	2,121	$34K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	6.2%	243	163	$32K
D1208	Topical application of fluoride, excluding varnish	5.5%	1,218	1,199	$28K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	3.2%	855	785	$16K
D1351	Sealant - per tooth	1.6%	213	39	$8K
D1110	Prophylaxis - adult	1.4%	106	105	$7K
D0140	Limited oral evaluation - problem focused	1.2%	126	124	$6K
D1330		<1%	734	732	$5K

5 more codes

D0274	Bitewings - four radiographic images	<1%	150	$4K
D7140	Extraction, erupted tooth or exposed root	<1%	16	$2K
D0330	Panoramic radiographic image	<1%	42	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	17	$2K
D3120		<1%	13	$455.00

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 officialWILSON, ADRIAN (OWNER/DENTIST)