Dental
Pediatric Dentistry, LLC
Pediatric Dentistry, LLC was paid $389K by Medicaid between Jan 2018 and Mar 2020, across 14 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 15% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY, LLC
HUTCHINSON, KS 67502
HUTCHINSON, KS 67502
33aNPI1760690531assigned 05/17/2007
33bProvider typePediatric Dentist
28Total paid$389K
24GClaims13,952
24DCodes billed14
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Pediatric Dentist providers in Kansas
Rank by total paid#22 of 41
Median peer was paid$505K
This provider vs. median0.8×
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 | 9,113 | $262K | |
| 2019 | 4,571 | $123K | |
| 2020 | 268 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 15% | 670 | 406 | $58K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 1,988 | 1,958 | $56K |
| D0272 | Bitewings - two radiographic images | 12% | 2,539 | 2,507 | $47K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 2,362 | 2,329 | $47K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 635 | 355 | $42K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 2,447 | 2,416 | $39K |
| D1351 | Sealant - per tooth | 7.0% | 1,223 | 492 | $27K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.9% | 376 | 264 | $23K |
| D1110 | Prophylaxis - adult | 4.8% | 499 | 495 | $19K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.0% | 556 | 532 | $11K |
| D0240 | 2.3% | 356 | 331 | $9K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.4% | 100 | 63 | $6K |
2 more codes
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 officialGAUSMAN, ROGER (PARTNER)