Dental
Pediatric Dental Care PC, INC
Pediatric Dental Care PC, INC was paid $6.27M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 20% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL CARE PC, INC
PORT MATILDA, PA 16870
PORT MATILDA, PA 16870
33aNPI1972673010assigned 11/08/2006
33bProvider typePediatric Dentist
28Total paid$6.27M
24GClaims101,657
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#4 of 237
Median peer was paid$109K
This provider vs. median57×
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 | 240 | $4K | |
| 2019 | 517 | $12K | |
| 2020 | 11,411 | $623K | |
| 2021 | 40,485 | $2.34M | |
| 2022 | 260 | $8K | |
| 2023 | 587 | $19K | |
| 2024incomplete | 48,157 | $3.27M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 20% | 7,062 | 2,825 | $1.26M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 6,388 | 2,945 | $715K |
| D9222 | 9.8% | 385 | 385 | $616K | |
| D1120 | Dental cleaning, childProphylaxis - child | 7.2% | 9,699 | 9,599 | $454K |
| D7140 | Extraction, erupted tooth or exposed root | 6.5% | 4,535 | 2,213 | $405K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 5.4% | 2,953 | 1,512 | $336K |
| D9248 | 5.3% | 1,257 | 1,230 | $332K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.9% | 10,771 | 10,641 | $310K |
| D1206 | Topical application of fluoride varnish | 4.2% | 11,668 | 11,522 | $262K |
| D1351 | Sealant - per tooth | 3.9% | 6,879 | 1,718 | $246K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 2,502 | 1,614 | $240K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.5% | 3,538 | 3,436 | $218K |
23 more codes
| D0272 | Bitewings - two radiographic images | 2.4% | 6,689 | $153K |
| D2934 | 1.6% | 492 | $103K | |
| D1110 | Prophylaxis - adult | 1.5% | 1,793 | $94K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 2,526 | $92K |
| D1510 | 1.4% | 539 | $87K | |
| D0240 | <1% | 2,553 | $60K | |
| D1330 | <1% | 6,885 | $57K | |
| D1310 | <1% | 5,683 | $51K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,089 | $27K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,259 | $26K |
| D2330 | <1% | 332 | $25K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 202 | $24K |
| D9920 | <1% | 130 | $19K | |
| D0603 | <1% | 1,609 | $16K | |
| D2332 | <1% | 147 | $15K | |
| D2331 | <1% | 141 | $13K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 131 | $7K |
| D2920 | <1% | 112 | $4K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 96 | $3K |
| D0602 | <1% | 130 | $1K | |
| D1999 | <1% | 66 | $385.00 | |
| D0270 | <1% | 37 | $315.65 | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 0% | 379 | $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 officialKILARESKI, ROBERT (DENTIST)