Dental
Kids Dental Space, LLC
Kids Dental Space, LLC was paid $163K by Medicaid between Jan 2023 and Dec 2024, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoKIDS DENTAL SPACE, LLC
TOWSON, MD 21204
TOWSON, MD 21204
33aNPI1932840220assigned 04/02/2022
33bProvider typePediatric Dentist
28Total paid$163K
24GClaims4,699
24DCodes billed15
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Maryland
Rank by total paid#103 of 150
Median peer was paid$536K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2023 | 1,890 | $64K | |
| 2024incomplete | 2,809 | $99K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 916 | 913 | $42K |
| D1206 | Topical application of fluoride varnish | 18% | 1,139 | 1,136 | $29K |
| D1351 | Sealant - per tooth | 15% | 678 | 128 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 354 | 354 | $20K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 541 | 541 | $16K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.6% | 109 | 54 | $14K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.2% | 263 | 216 | $5K |
| D0272 | Bitewings - two radiographic images | 2.6% | 266 | 266 | $4K |
| D1110 | Prophylaxis - adult | 1.6% | 42 | 42 | $3K |
| D1330 | <1% | 248 | 248 | $1K | |
| D0274 | Bitewings - four radiographic images | <1% | 54 | 54 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 24 | 24 | $1K |
3 more codes
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 officialCLARKE, ROXANNE (PEDIATRIC DENTIST/OWNER)