Dental
Bethesda Pediatric Dentistry LLC
Bethesda Pediatric Dentistry LLC was paid $704K by Medicaid between Jan 2018 and Mar 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.
33Billing provider infoBETHESDA PEDIATRIC DENTISTRY LLC
BETHESDA, MD 20814
BETHESDA, MD 20814
33aNPI1760858518assigned 08/17/2015
33bProvider typeDentist
28Total paid$704K
24GClaims22,993
24DCodes billed21
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Dentist providers in Maryland
Rank by total paid#57 of 415
Median peer was paid$47K
This provider vs. median15×
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 | 3,853 | $165K | |
| 2019 | 3,850 | $133K | |
| 2020 | 2,763 | $76K | |
| 2021 | 3,376 | $121K | |
| 2022 | 3,370 | $79K | |
| 2023 | 5,037 | $108K | |
| 2024incomplete | 744 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 5,028 | 4,537 | $197K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 5,338 | 4,749 | $141K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 820 | 404 | $99K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 3,168 | 3,121 | $72K |
| D1206 | Topical application of fluoride varnish | 7.9% | 2,948 | 2,210 | $56K |
| D0272 | Bitewings - two radiographic images | 3.2% | 1,589 | 1,470 | $22K |
| D1351 | Sealant - per tooth | 2.7% | 560 | 170 | $19K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.5% | 115 | 51 | $18K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.5% | 972 | 896 | $17K |
| D0140 | Limited oral evaluation - problem focused | 2.3% | 370 | 344 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.9% | 146 | 70 | $14K |
| D1330 | 1.2% | 1,524 | 1,325 | $8K |
9 more codes
| D0330 | Panoramic radiographic image | <1% | 131 | $5K |
| D9248 | <1% | 25 | $5K | |
| D2335 | <1% | 27 | $4K | |
| D1110 | Prophylaxis - adult | <1% | 59 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 20 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 69 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 26 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 13 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 45 | $447.30 |
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 officialFAJARDO, ARIS (MANAGER)