Dental
Daphne Pediatric Dentistry INC
Daphne Pediatric Dentistry INC was paid $2.00M by Medicaid between Jan 2018 and Sep 2022, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.
33Billing provider infoDAPHNE PEDIATRIC DENTISTRY INC
DAPHNE, AL 36526
DAPHNE, AL 36526
33aNPI1841374899assigned 10/25/2006
33bProvider typePediatric Dentist
28Total paid$2.00M
24GClaims66,329
24DCodes billed23
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Pediatric Dentist providers in Alabama
Rank by total paid#37 of 111
Median peer was paid$708K
This provider vs. median2.8×
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 | 16,842 | $497K | |
| 2019 | 17,498 | $547K | |
| 2020 | 11,943 | $359K | |
| 2021 | 12,463 | $391K | |
| 2022 | 7,583 | $207K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 22% | 5,132 | 2,997 | $432K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 9,322 | 9,280 | $277K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 11,684 | 11,634 | $230K |
| D1208 | Topical application of fluoride, excluding varnish | 6.6% | 8,903 | 8,857 | $131K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.1% | 1,916 | 1,376 | $121K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.5% | 5,163 | 4,903 | $111K |
| D1110 | Prophylaxis - adult | 4.9% | 2,569 | 2,556 | $99K |
| D1206 | Topical application of fluoride varnish | 4.5% | 3,242 | 3,215 | $91K |
| D0330 | Panoramic radiographic image | 4.5% | 1,795 | 1,785 | $90K |
| D0272 | Bitewings - two radiographic images | 4.0% | 4,402 | 4,381 | $81K |
| D7140 | Extraction, erupted tooth or exposed root | 3.0% | 1,124 | 676 | $60K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.5% | 583 | 468 | $50K |
11 more codes
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.3% | 562 | $45K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 3,673 | $41K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 1,333 | $28K |
| D0274 | Bitewings - four radiographic images | 1.2% | 1,026 | $25K |
| D2332 | 1.2% | 284 | $24K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 2,398 | $22K |
| D1351 | Sealant - per tooth | <1% | 513 | $13K |
| D0140 | Limited oral evaluation - problem focused | <1% | 489 | $12K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 137 | $12K |
| D2335 | <1% | 47 | $5K | |
| D2330 | <1% | 32 | $2K |
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 officialCHAMBLISS, HAROLD (PEDIATRIC DENTIST)