Clinic
Maysville Pediatric Dental Center
Maysville Pediatric Dental Center was paid $140K by Medicaid between Apr 2023 and Nov 2024, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 30% of everything it billed.
33Billing provider infoMAYSVILLE PEDIATRIC DENTAL CENTER
MAYSVILLE, KY 41056
MAYSVILLE, KY 41056
33aNPI1750027413assigned 05/06/2022
33bProvider typeDental Clinic/Center
28Total paid$140K
24GClaims2,831
24DCodes billed12
24AFirst – last monthApr 2023 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Kentucky
Rank by total paid#34 of 50
Median peer was paid$353K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2023 | 684 | $26K | |
| 2024incomplete | 2,147 | $114K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 30% | 465 | 238 | $43K |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 681 | 671 | $31K |
| D1206 | Topical application of fluoride varnish | 12% | 659 | 651 | $16K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 10.0% | 275 | 266 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 205 | 202 | $10K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.6% | 40 | 33 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.5% | 193 | 193 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 3.6% | 46 | 41 | $5K |
| D0272 | Bitewings - two radiographic images | 2.6% | 206 | 204 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 17 | 13 | $2K |
| D1351 | Sealant - per tooth | <1% | 31 | 15 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | 13 | $560.95 |
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 officialLUCAS, MACKENZIE (OWNER/DENTIST)