Dental
Peachtree Children's Dentistry
Peachtree Children's Dentistry was paid $2.76M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoPEACHTREE CHILDREN'S DENTISTRY
DULUTH, GA 30096
DULUTH, GA 30096
33aNPI1770754772assigned 03/18/2008
33bProvider typePediatric Dentist
28Total paid$2.76M
24GClaims133,524
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Georgia
Rank by total paid#6 of 38
Median peer was paid$58K
This provider vs. median48×
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 | 12,849 | $240K | |
| 2019 | 16,245 | $308K | |
| 2020 | 13,903 | $265K | |
| 2021 | 19,443 | $412K | |
| 2022 | 31,957 | $674K | |
| 2023 | 23,333 | $517K | |
| 2024incomplete | 15,794 | $346K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 17,220 | 16,791 | $442K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 21,323 | 20,807 | $385K |
| D1206 | Topical application of fluoride varnish | 11% | 22,015 | 21,469 | $316K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.4% | 3,469 | 2,572 | $233K |
| D0272 | Bitewings - two radiographic images | 7.1% | 11,137 | 10,856 | $195K |
| D0220 | Intraoral - periapical first radiographic image | 5.7% | 14,521 | 14,095 | $158K |
| D1110 | Prophylaxis - adult | 5.3% | 5,788 | 5,640 | $148K |
| D1351 | Sealant - per tooth | 5.2% | 5,259 | 2,156 | $142K |
| D0274 | Bitewings - four radiographic images | 4.7% | 4,875 | 4,729 | $129K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.9% | 6,216 | 5,696 | $107K |
| D9630 | 3.4% | 3,428 | 3,338 | $95K | |
| D0230 | Intraoral - periapical each additional radiographic image | 3.3% | 11,081 | 10,522 | $92K |
10 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 1,796 | $88K |
| D0210 | Intraoral - complete series of radiographic images | 2.3% | 1,444 | $65K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.7% | 368 | $46K |
| D0330 | Panoramic radiographic image | 1.6% | 1,392 | $44K |
| D7140 | Extraction, erupted tooth or exposed root | 1.3% | 629 | $35K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 1,089 | $33K |
| D0140 | Limited oral evaluation - problem focused | <1% | 271 | $5K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 34 | $2K |
| D0270 | <1% | 155 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 14 | $888.32 |
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 officialKIL, NAMEUN (DOCTOR/BUSINESS OWNER)