Dental
Kensington Paradise Dental PC
Kensington Paradise Dental PC was paid $83K by Medicaid between Jan 2024 and Dec 2024, across 11 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 32% of everything it billed.
33Billing provider infoKENSINGTON PARADISE DENTAL PC
PHILADELPHIA, PA 19133
PHILADELPHIA, PA 19133
33aNPI1861113748assigned 09/08/2022
33bProvider typePublic Health Dentist
28Total paid$83K
24GClaims3,165
24DCodes billed11
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers
Next to other Public Health Dentist providers in Pennsylvania
Rank by total paid#2 of 7
Median peer was paid$40K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2024incomplete | 3,165 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 32% | 394 | 192 | $26K |
| D1110 | Prophylaxis - adult | 15% | 353 | 349 | $12K |
| D0274 | Bitewings - four radiographic images | 12% | 461 | 436 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 141 | 83 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.9% | 344 | 335 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 224 | 221 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 4.7% | 522 | 488 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 490 | 443 | $4K |
| D0330 | Panoramic radiographic image | 3.8% | 121 | 117 | $3K |
| D9110 | 3.3% | 94 | 90 | $3K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 21 | 17 | $1K |
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 officialMERCADO, VANESSA (OFFICE ASSISTANT)