Dental
Pediatric Dental Care of Tidewater PC
Pediatric Dental Care of Tidewater PC was paid $11.51M by Medicaid between Jan 2018 and Sep 2024, across 29 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL CARE OF TIDEWATER PC
PORTSMOUTH, VA 23703
PORTSMOUTH, VA 23703
33aNPI1891915112assigned 04/27/2007
33bProvider typePediatric Dentist
28Total paid$11.51M
24GClaims419,371
24DCodes billed29
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Virginia
Rank by total paid#2 of 140
Median peer was paid$234K
This provider vs. median49×
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 | 60,141 | $1.98M | |
| 2019 | 63,690 | $2.05M | |
| 2020 | 47,258 | $1.42M | |
| 2021 | 64,781 | $2.01M | |
| 2022 | 68,607 | $2.43M | |
| 2023 | 71,901 | $1.62M | |
| 2024incomplete | 42,993 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 68,062 | 66,848 | $1.81M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 21,032 | 13,185 | $1.59M |
| D1206 | Topical application of fluoride varnish | 12% | 80,345 | 78,910 | $1.34M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.9% | 66,437 | 65,264 | $1.14M |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.4% | 25,554 | 23,819 | $739K |
| D7140 | Extraction, erupted tooth or exposed root | 5.4% | 10,921 | 6,001 | $621K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.2% | 5,131 | 1,734 | $600K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.9% | 9,285 | 6,748 | $560K |
| D1110 | Prophylaxis - adult | 4.8% | 14,224 | 13,965 | $550K |
| D0272 | Bitewings - two radiographic images | 4.1% | 28,932 | 28,385 | $475K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 16,482 | 16,134 | $471K |
| D1351 | Sealant - per tooth | 4.0% | 19,511 | 6,988 | $460K |
17 more codes
| D0140 | Limited oral evaluation - problem focused | 1.6% | 7,864 | $181K |
| D0274 | Bitewings - four radiographic images | 1.5% | 7,564 | $168K |
| D0330 | Panoramic radiographic image | 1.3% | 3,627 | $151K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.2% | 1,386 | $140K |
| D0240 | 1.1% | 11,887 | $124K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 11,667 | $111K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 893 | $106K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 5,018 | $47K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,325 | $42K |
| D2330 | <1% | 443 | $29K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 394 | $28K |
| D3120 | <1% | 1,001 | $13K | |
| D2332 | <1% | 125 | $13K | |
| D1354 | <1% | 177 | $2K | |
| D2331 | <1% | 16 | $1K | |
| D2940 | <1% | 28 | $825.60 | |
| D1999 | 0% | 40 | $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 officialWEIS, MORGAN (OWNER)