Annapolis Pediatric Dentistry

Annapolis Pediatric Dentistry was paid $4.18M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.

33Billing provider infoANNAPOLIS PEDIATRIC DENTISTRY
ANNAPOLIS, MD 21401

33aNPI1932477221assigned 12/01/2011

33bProvider typePediatric Dentist

28Total paid$4.18M

24GClaims115,378

24DCodes billed20

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Dentist providers in Maryland

Rank by total paid#18 of 150

Median peer was paid$536K

This provider vs. median7.8×

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	15,568	$525K
2019	17,273	$572K
2020	13,933	$455K
2021	15,733	$545K
2022	17,323	$658K
2023	18,450	$735K
2024incomplete	17,098	$685K

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	18%	5,995	3,611	$746K
D1120	Dental cleaning, childProphylaxis - child	18%	17,080	16,789	$744K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	17,918	17,637	$532K
D1351	Sealant - per tooth	12%	14,764	3,139	$504K
D1206	Topical application of fluoride varnish	11%	18,919	18,626	$469K
D2391	Resin-based composite - one surface, posterior, primary or permanent	5.8%	2,507	1,693	$243K
D1110	Prophylaxis - adult	4.3%	2,926	2,885	$179K
D0330	Panoramic radiographic image	3.4%	3,351	3,286	$142K
D0150	Comprehensive oral evaluation - new or established patient	2.3%	1,859	1,817	$97K
D0272	Bitewings - two radiographic images	2.3%	6,209	6,097	$94K
D0140	Limited oral evaluation - problem focused	2.2%	2,087	1,974	$92K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	1.7%	467	383	$72K

8 more codes

D0220	Intraoral - periapical first radiographic image	1.5%	6,521	$63K
D7140	Extraction, erupted tooth or exposed root	1.5%	543	$62K
D0274	Bitewings - four radiographic images	<1%	1,716	$39K
D0230	Intraoral - periapical each additional radiographic image	<1%	6,225	$39K
D1330		<1%	5,228	$32K
D1208	Topical application of fluoride, excluding varnish	<1%	973	$22K
D3120		<1%	61	$2K
D2940		<1%	29	$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 officialJIMENEZ, BEVERLY (MEMBER)