Children's Dental Care, INC.

Children's Dental Care, INC. was paid $126K by Medicaid between Jan 2019 and Oct 2019, across 15 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 59% of everything it billed.

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
2019	1,816	$126K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2930	Prefabricated stainless steel crown - primary tooth	59%	377	76	$75K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	7.8%	244	44	$10K
D7140	Extraction, erupted tooth or exposed root	7.4%	107	33	$9K
D1120	Dental cleaning, childProphylaxis - child	4.8%	150	148	$6K
D0230	Intraoral - periapical each additional radiographic image	4.4%	421	126	$6K
D9222		2.8%	46	42	$4K
D0150	Comprehensive oral evaluation - new or established patient	2.8%	58	57	$4K
D1206	Topical application of fluoride varnish	2.7%	120	119	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	2.2%	29	17	$3K
D0220	Intraoral - periapical first radiographic image	2.1%	143	139	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.0%	39	39	$1K
D9310		<1%	14	14	$1K

3 more codes

D1351	Sealant - per tooth	<1%	32	$918.00
D1208	Topical application of fluoride, excluding varnish	<1%	20	$570.00
D0272	Bitewings - two radiographic images	<1%	16	$444.00

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 officialTAYLOR-GRIFFITH, SONIA (OWNER)