Clinic
The Children's Tooth Spa P.C.
The Children's Tooth Spa P.C. was paid $255K by Medicaid between Dec 2023 and Dec 2024, across 25 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 20% of everything it billed.
33Billing provider infoTHE CHILDREN'S TOOTH SPA P.C.
PHILADELPHIA, PA 19123
PHILADELPHIA, PA 19123
33aNPI1952996506assigned 03/05/2021
33bProvider typeDental Clinic/Center
28Total paid$255K
24GClaims10,364
24DCodes billed25
24AFirst – last monthDec 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Pennsylvania
Rank by total paid#25 of 78
Median peer was paid$70K
This provider vs. median3.6×
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 | 104 | $1K | |
| 2024incomplete | 10,260 | $254K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 20% | 512 | 163 | $51K |
| D1206 | Topical application of fluoride varnish | 12% | 1,610 | 1,391 | $30K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.9% | 937 | 917 | $20K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.6% | 293 | 177 | $19K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.5% | 434 | 366 | $17K |
| D7140 | Extraction, erupted tooth or exposed root | 5.8% | 223 | 114 | $15K |
| D1351 | Sealant - per tooth | 5.7% | 350 | 122 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 544 | 538 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.5% | 561 | 554 | $9K |
| D1330 | 3.3% | 1,042 | 1,020 | $9K | |
| D1310 | 3.3% | 1,043 | 1,021 | $8K | |
| D2933 | 3.2% | 30 | 14 | $8K |
13 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 139 | $8K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.7% | 95 | $7K |
| D0240 | 2.6% | 512 | $7K | |
| D0272 | Bitewings - two radiographic images | 2.3% | 452 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 521 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 346 | $3K |
| D0603 | 1.1% | 470 | $3K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 60 | $2K |
| D1110 | Prophylaxis - adult | <1% | 47 | $2K |
| D0330 | Panoramic radiographic image | <1% | 47 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 66 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 15 | $238.83 |
| D9420 | 0% | 15 | $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 officialPINERO, JENNIFER (PRESIDENT/CEO)