Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Pediatric Dental Health LLC

Pediatric Dental Health LLC was paid $685K by Medicaid between Feb 2018 and Dec 2024, across 24 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.

33Billing provider infoPEDIATRIC DENTAL HEALTH LLC
BENSALEM, PA 19020
33aNPI1790222974assigned 01/25/2017
33bProvider typePediatric Dentist
28Total paid$685K
24GClaims38,495
24DCodes billed24
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Pennsylvania

Rank by total paid#30 of 237
Median peer was paid$109K
This provider vs. median6.3×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
2018246$6K
2019738$18K
20202,133$42K
202111,888$228K
2022116$3K
2023136$4K
2024incomplete23,238$384K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 20% 5,376 5,314 $137K
D1206 Topical application of fluoride varnish 18% 6,284 6,204 $125K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 15% 4,538 4,483 $101K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 7.8% 802 452 $53K
D1351 Sealant - per tooth 6.0% 1,497 383 $41K
D0603 5.9% 4,373 4,313 $40K
D0272 Bitewings - two radiographic images 4.8% 1,805 1,782 $33K
D1110 Prophylaxis - adult 4.3% 681 670 $30K
D1330 3.7% 5,250 5,188 $25K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.9% 580 553 $20K
D0150 Comprehensive oral evaluation - new or established patient 2.2% 656 644 $15K
D0145 Oral evaluation for a patient under three years of age 1.8% 543 543 $12K
12 more codes
D9248 1.4% 94 $9K
D0220 Intraoral - periapical first radiographic image 1.3% 983 $9K
D0602 1.1% 757 $8K
D0330 Panoramic radiographic image 1.1% 171 $7K
D0230 Intraoral - periapical each additional radiographic image <1% 665 $6K
D2930 Prefabricated stainless steel crown - primary tooth <1% 43 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 61 $3K
D0274 Bitewings - four radiographic images <1% 66 $2K
D7140 Extraction, erupted tooth or exposed root <1% 27 $2K
D9110 <1% 52 $2K
D0601 <1% 103 $1K
D1310 <1% 3,088 $21.00

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 officialPATEL, MUKUND (OWNER)