Dental
Pediatric Dental Assoc LTD
Pediatric Dental Assoc LTD was paid $44K by Medicaid between Jan 2018 and Apr 2023, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 35% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL ASSOC LTD
SOUTHAMPTON, PA 18966
SOUTHAMPTON, PA 18966
33aNPI1902961899assigned 12/22/2006
33bProvider typeDentist
28Total paid$44K
24GClaims2,490
24DCodes billed9
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#321 of 683
Median peer was paid$34K
This provider vs. median1.3×
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 | 908 | $15K | |
| 2019 | 1,111 | $20K | |
| 2020 | 151 | $2K | |
| 2021 | 56 | $839.65 | |
| 2022 | 60 | $1K | |
| 2023 | 204 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 35% | 441 | 434 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 577 | 566 | $13K |
| D0272 | Bitewings - two radiographic images | 15% | 326 | 319 | $7K |
| D1206 | Topical application of fluoride varnish | 14% | 291 | 285 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 4.1% | 91 | 90 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 12 | 12 | $421.08 |
| D0602 | 0% | 94 | 94 | $0.00 | |
| D1330 | 0% | 612 | 601 | $0.00 | |
| D0603 | 0% | 46 | 45 | $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 officialROSENBAUM, MICHAEL (PARTNER)
Parent organizationPEDIATRIC DENTAL ASSOCIATES LTD
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dental Assoc LTD | Ambler, PA | $15K |
| Pediatric Dental Assoc LTD | Philadelphia, PA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.