Clinic
MD Pediatric Dentistry LLC
MD Pediatric Dentistry LLC was paid $2.01M by Medicaid between Jul 2022 and Dec 2024, across 26 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoMD PEDIATRIC DENTISTRY LLC
EASTON, MD 21601
EASTON, MD 21601
33aNPI1932838588assigned 06/08/2022
33bProvider typeDental Clinic/Center
28Total paid$2.01M
24GClaims41,034
24DCodes billed26
24AFirst – last monthJul 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Maryland
Rank by total paid#20 of 133
Median peer was paid$216K
This provider vs. median9.3×
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 | |
|---|---|---|---|
| 2022 | 7,678 | $362K | |
| 2023 | 17,425 | $842K | |
| 2024incomplete | 15,931 | $802K |
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 | 15% | 2,338 | 1,149 | $305K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 5,346 | 5,253 | $250K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 1,467 | 625 | $250K |
| D1206 | Topical application of fluoride varnish | 8.2% | 6,570 | 6,456 | $165K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.6% | 4,954 | 4,865 | $153K |
| D7140 | Extraction, erupted tooth or exposed root | 7.4% | 1,226 | 645 | $148K |
| D9248 | 6.9% | 753 | 681 | $138K | |
| D1351 | Sealant - per tooth | 5.9% | 3,285 | 894 | $118K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 1,361 | 1,339 | $75K |
| D1110 | Prophylaxis - adult | 3.4% | 1,082 | 1,060 | $68K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.9% | 358 | 291 | $59K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 485 | 349 | $47K |
14 more codes
| D0330 | Panoramic radiographic image | 2.2% | 1,001 | $45K |
| D0272 | Bitewings - two radiographic images | 1.9% | 2,380 | $38K |
| D3120 | 1.8% | 1,053 | $36K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 1,255 | $24K |
| D1330 | 1.1% | 3,421 | $22K | |
| D0140 | Limited oral evaluation - problem focused | 1.0% | 441 | $21K |
| D0274 | Bitewings - four radiographic images | <1% | 714 | $17K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 272 | $12K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 916 | $10K |
| D9310 | <1% | 90 | $4K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 131 | $2K |
| D0240 | <1% | 74 | $693.00 | |
| D9420 | <1% | 28 | $420.00 | |
| D1354 | <1% | 33 | $330.00 |
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 officialDAMAS, MYRNELLE (OWNER)