Dental
Coastal Kids Pediatric Dentistry, LLC
Coastal Kids Pediatric Dentistry, LLC was paid $9.75M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 17% of everything it billed.
33Billing provider infoCOASTAL KIDS PEDIATRIC DENTISTRY, LLC
REHOBOTH BEACH, DE 19971
REHOBOTH BEACH, DE 19971
33aNPI1821433145assigned 04/30/2013
33bProvider typePediatric Dentist
28Total paid$9.75M
24GClaims185,903
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Delaware
Rank by total paid#2 of 18
Median peer was paid$1.14M
This provider vs. median8.6×
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 | 19,486 | $987K | |
| 2019 | 21,352 | $1.12M | |
| 2020 | 13,517 | $660K | |
| 2021 | 21,247 | $1.02M | |
| 2022 | 29,090 | $1.47M | |
| 2023 | 41,115 | $2.34M | |
| 2024incomplete | 40,096 | $2.15M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 17% | 6,611 | 2,069 | $1.69M |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 24,023 | 23,100 | $1.30M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.0% | 20,938 | 20,280 | $873K |
| D1206 | Topical application of fluoride varnish | 8.3% | 25,011 | 24,061 | $804K |
| D7140 | Extraction, erupted tooth or exposed root | 7.6% | 4,648 | 2,109 | $744K |
| D1351 | Sealant - per tooth | 7.2% | 17,144 | 3,267 | $701K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.0% | 2,494 | 1,801 | $585K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.4% | 2,354 | 1,750 | $429K |
| D0272 | Bitewings - two radiographic images | 4.4% | 11,797 | 11,309 | $429K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.6% | 4,779 | 4,451 | $347K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 4,689 | 4,358 | $316K |
| D0330 | Panoramic radiographic image | 2.9% | 3,252 | 3,088 | $283K |
15 more codes
| D1354 | 2.5% | 4,254 | $245K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 10,785 | $219K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.7% | 934 | $161K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 6,414 | $152K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 2,155 | $128K |
| D1110 | Prophylaxis - adult | 1.2% | 1,619 | $118K |
| D0274 | Bitewings - four radiographic images | 1.1% | 2,062 | $107K |
| D0160 | <1% | 756 | $80K | |
| D0240 | <1% | 1,373 | $36K | |
| D9920 | <1% | 14 | $2K | |
| D0602 | 0% | 2,528 | $0.00 | |
| D0603 | 0% | 24,065 | $0.00 | |
| D9420 | 0% | 769 | $0.00 | |
| D0431 | 0% | 310 | $0.00 | |
| D9986 | 0% | 125 | $0.00 |
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 officialDI CERBO, JESSICA (PEDIATRIC DENTIST)