Dental
Pediatric Dentistry South
Pediatric Dentistry South was paid $899K by Medicaid between Mar 2018 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY SOUTH
PITTSBURGH, PA 15241
PITTSBURGH, PA 15241
33aNPI1750622106assigned 03/11/2013
33bProvider typePediatric Dentist
28Total paid$899K
24GClaims33,093
24DCodes billed21
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#23 of 237
Median peer was paid$109K
This provider vs. median8.2×
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 | 116 | $2K | |
| 2020 | 2,199 | $61K | |
| 2021 | 12,979 | $347K | |
| 2022 | 310 | $9K | |
| 2023 | 560 | $16K | |
| 2024incomplete | 16,929 | $462K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 5,271 | 5,262 | $158K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 7,119 | 7,102 | $142K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 7,194 | 7,167 | $130K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.9% | 1,501 | 915 | $89K |
| D1110 | Prophylaxis - adult | 9.7% | 2,385 | 2,378 | $87K |
| D1351 | Sealant - per tooth | 6.3% | 2,437 | 865 | $57K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.8% | 1,212 | 1,037 | $52K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.1% | 486 | 180 | $46K |
| D0272 | Bitewings - two radiographic images | 3.9% | 2,128 | 2,116 | $35K |
| D7140 | Extraction, erupted tooth or exposed root | 3.7% | 544 | 278 | $33K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 502 | 402 | $24K |
| D1354 | 1.7% | 504 | 407 | $15K |
9 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 624 | $13K |
| D0330 | Panoramic radiographic image | <1% | 168 | $6K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 635 | $5K |
| D0274 | Bitewings - four radiographic images | <1% | 77 | $2K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 21 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 180 | $2K |
| D0240 | <1% | 79 | $918.00 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 14 | $280.00 |
| D1999 | <1% | 12 | $77.00 |
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 officialSECRIST, SARA (OFFICE MANAGER)