Dental
Preventive Dentistry for Children PA
Preventive Dentistry for Children PA was paid $1.17M by Medicaid between Sep 2018 and Dec 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.
33Billing provider infoPREVENTIVE DENTISTRY FOR CHILDREN PA
MARATHON, FL 33050
MARATHON, FL 33050
33aNPI1952518557assigned 05/16/2007
33bProvider typePediatric Dentist
28Total paid$1.17M
24GClaims24,233
24DCodes billed22
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#28 of 246
Median peer was paid$107K
This provider vs. median11×
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 | 854 | $23K | |
| 2019 | 12 | $558.00 | |
| 2020 | 1,720 | $88K | |
| 2022 | 60 | $0.00 | |
| 2023 | 3,309 | $135K | |
| 2024incomplete | 18,278 | $927K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 3,094 | 3,088 | $164K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 9.9% | 479 | 384 | $116K |
| D1208 | Topical application of fluoride, excluding varnish | 9.7% | 3,964 | 3,958 | $114K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.4% | 512 | 344 | $99K |
| D1351 | Sealant - per tooth | 7.9% | 2,506 | 632 | $93K |
| D0330 | Panoramic radiographic image | 7.9% | 637 | 636 | $93K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.6% | 1,326 | 1,326 | $89K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.4% | 501 | 333 | $87K |
| D1110 | Prophylaxis - adult | 6.3% | 1,035 | 1,035 | $75K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.2% | 2,803 | 2,797 | $61K |
| D7140 | Extraction, erupted tooth or exposed root | 4.4% | 415 | 291 | $52K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.6% | 646 | 618 | $30K |
10 more codes
| D0274 | Bitewings - four radiographic images | 2.0% | 350 | $23K |
| D0272 | Bitewings - two radiographic images | 1.9% | 1,326 | $23K |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 416 | $21K |
| D1330 | 1.3% | 3,608 | $15K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 165 | $12K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 18 | $7K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 134 | $1K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 53 | $925.00 |
| D1354 | <1% | 28 | $245.29 | |
| D9986 | 0% | 217 | $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 officialVEDRENNE-RANGEL, DENISE (OWNER)