Dental
Danville Pediatric Dentistry, PSC
Danville Pediatric Dentistry, PSC was paid $78K by Medicaid between Jan 2018 and Jan 2020, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 43% of everything it billed.
33Billing provider infoDANVILLE PEDIATRIC DENTISTRY, PSC
DANVILLE, KY 40422
DANVILLE, KY 40422
33aNPI1760772230assigned 04/18/2011
33bProvider typePediatric Dentist
28Total paid$78K
24GClaims2,889
24DCodes billed9
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Pediatric Dentist providers in Kentucky
Rank by total paid#113 of 134
Median peer was paid$467K
This provider vs. median0.2×
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 | 1,146 | $32K | |
| 2019 | 1,505 | $40K | |
| 2020 | 238 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 43% | 713 | 707 | $33K |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 522 | 515 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 799 | 792 | $12K |
| D0272 | Bitewings - two radiographic images | 9.8% | 430 | 428 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.7% | 189 | 179 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.2% | 175 | 174 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.4% | 15 | 13 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.0% | 17 | 12 | $783.30 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 29 | 27 | $296.40 |
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 officialJOHNSON, JEFFREY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| City of Newport News | Newport News, VA | $5.72M |
| Artisan Pediatric Eyecare LLC | Boise, ID | $1.38M |
| Jeffrey C. Johnson | Boise, ID | $330K |
| Twin Peaks Medical P.C. | West Jordan, UT | $211K |
| DJR2 Professional Limited Liability Company | Danville, KY | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.