Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MD › Millersville › NPI 1720562507
Dental

Arundel Pediatric Dental Care

Arundel Pediatric Dental Care was paid $135K by Medicaid between Jan 2024 and Dec 2024, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.

33Billing provider infoARUNDEL PEDIATRIC DENTAL CARE
MILLERSVILLE, MD 21108
33aNPI1720562507assigned 09/18/2018
33bProvider typePediatric Dentist
28Total paid$135K
24GClaims4,258
24DCodes billed16
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Maryland

Rank by total paid#110 of 150
Median peer was paid$536K
This provider vs. median0.3×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete4,258$135K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 27% 755 755 $36K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 18% 782 782 $24K
D1206 Topical application of fluoride varnish 18% 939 939 $24K
D0140 Limited oral evaluation - problem focused 7.1% 204 190 $9K
D0272 Bitewings - two radiographic images 3.8% 322 322 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3.7% 36 16 $5K
D1110 Prophylaxis - adult 3.4% 71 71 $5K
D7140 Extraction, erupted tooth or exposed root 3.4% 34 13 $5K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.2% 217 197 $4K
D1330 2.7% 511 511 $4K
D0150 Comprehensive oral evaluation - new or established patient 2.6% 65 65 $4K
D0330 Panoramic radiographic image 2.6% 78 78 $4K
4 more codes
D3120 1.8% 70 $2K
D1351 Sealant - per tooth 1.5% 52 $2K
D0220 Intraoral - periapical first radiographic image <1% 87 $999.44
D0230 Intraoral - periapical each additional radiographic image <1% 35 $505.12

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 officialKHOSHKHOU, MAHTAB (PEDIATRIC DENTIST/OWNER)