Dental
Ardmore Pediatric Dental Associates PC
Ardmore Pediatric Dental Associates PC was paid $26K by Medicaid between Aug 2024 and Dec 2024, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoARDMORE PEDIATRIC DENTAL ASSOCIATES PC
ARDMORE, PA 19003
ARDMORE, PA 19003
33aNPI1932556925assigned 05/19/2016
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$26K
24GClaims1,660
24DCodes billed12
24AFirst – last monthAug 2024 – Dec 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Pennsylvania
Rank by total paid#126 of 158
Median peer was paid$111K
This provider vs. median0.2×
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 | 1,660 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 235 | 235 | $6K |
| D1206 | Topical application of fluoride varnish | 24% | 298 | 298 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 218 | 218 | $5K |
| D9920 | 6.7% | 47 | 45 | $2K | |
| D0272 | Bitewings - two radiographic images | 5.2% | 74 | 74 | $1K |
| D1330 | 5.2% | 287 | 287 | $1K | |
| D1310 | 5.2% | 287 | 287 | $1K | |
| D0603 | 4.2% | 117 | 117 | $1K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 15 | 13 | $565.86 |
| D0601 | 2.0% | 56 | 56 | $510.00 | |
| D1110 | Prophylaxis - adult | 1.2% | 12 | 12 | $309.23 |
| D0602 | <1% | 14 | 14 | $140.00 |
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 officialGOLDSLEGER, JAY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Upper Merion Dental Associates P C | King Of Prussia, PA | $4.06M |
| Bethlehem Pediatric Dental Associates | Bethlehem, PA | $1.51M |
| Broomall Pediatric Dentistry & Orthodontics,p.C. | Havertown, PA | $990K |
| Pottstown Pediatric Dentistry & Orthodontics PC | Pottstown, PA | $578K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.