Pediatric Dental Clinic

Pediatric Dental Clinic was paid $540K by Medicaid between May 2018 and Aug 2020, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.

33Billing provider infoPEDIATRIC DENTAL CLINIC
FLORENCE, AL 35630

33aNPI1861996035assigned 03/21/2018

33bProvider typePediatric Dentist

28Total paid$540K

24GClaims25,077

24DCodes billed16

24AFirst – last monthMay 2018 – Aug 2020

Compared with peers

Next to other Pediatric Dentist providers in Alabama

Rank by total paid#66 of 111

Median peer was paid$708K

This provider vs. median0.8×

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	7,850	$171K
2019	10,979	$236K
2020	6,248	$133K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	25%	5,000	4,944	$135K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	20%	6,143	6,091	$107K
D1208	Topical application of fluoride, excluding varnish	16%	6,187	6,122	$89K
D0330	Panoramic radiographic image	8.7%	1,038	1,023	$47K
D0272	Bitewings - two radiographic images	8.1%	2,614	2,583	$44K
D1110	Prophylaxis - adult	7.4%	1,187	1,181	$40K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	4.1%	316	236	$22K
D0150	Comprehensive oral evaluation - new or established patient	2.5%	663	643	$14K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	2.4%	721	680	$13K
D1351	Sealant - per tooth	2.1%	461	116	$11K
D1206	Topical application of fluoride varnish	1.9%	576	572	$10K
D2930	Prefabricated stainless steel crown - primary tooth	<1%	57	43	$5K

4 more codes

D7140	Extraction, erupted tooth or exposed root	<1%	33	$1K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	17	$826.00
D0220	Intraoral - periapical first radiographic image	<1%	51	$550.00
D0140	Limited oral evaluation - problem focused	<1%	13	$377.00

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 officialMERRITT, DAVID (DR.)