Dental
Richardson Pediatric Dentistry
Richardson Pediatric Dentistry was paid $3.79M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoRICHARDSON PEDIATRIC DENTISTRY
ELLICOTT CITY, MD 21043
ELLICOTT CITY, MD 21043
33aNPI1982958161assigned 11/09/2012
33bProvider typePediatric Dentist
28Total paid$3.79M
24GClaims99,831
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Maryland
Rank by total paid#21 of 150
Median peer was paid$536K
This provider vs. median7.1×
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 | 14,006 | $533K | |
| 2019 | 15,357 | $566K | |
| 2020 | 10,676 | $369K | |
| 2021 | 14,083 | $528K | |
| 2022 | 15,290 | $566K | |
| 2023 | 15,063 | $588K | |
| 2024incomplete | 15,356 | $635K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 18,494 | 18,240 | $803K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 21,032 | 20,749 | $621K |
| D1206 | Topical application of fluoride varnish | 13% | 20,150 | 19,875 | $499K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.4% | 2,628 | 1,805 | $318K |
| D1110 | Prophylaxis - adult | 6.6% | 4,147 | 4,094 | $251K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.5% | 1,616 | 865 | $247K |
| D1351 | Sealant - per tooth | 4.5% | 4,942 | 1,506 | $170K |
| D7140 | Extraction, erupted tooth or exposed root | 4.4% | 1,535 | 905 | $167K |
| D0272 | Bitewings - two radiographic images | 2.4% | 6,028 | 5,956 | $92K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 953 | 760 | $91K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 1,653 | 1,630 | $87K |
| D3120 | 2.2% | 2,442 | 1,787 | $84K |
9 more codes
| D0274 | Bitewings - four radiographic images | 2.1% | 3,545 | $80K |
| D1208 | Topical application of fluoride, excluding varnish | 1.6% | 2,671 | $61K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 1,333 | $58K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.5% | 3,107 | $56K |
| D0330 | Panoramic radiographic image | 1.3% | 1,120 | $50K |
| D0240 | <1% | 965 | $16K | |
| D9248 | <1% | 64 | $12K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,218 | $12K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 188 | $11K |
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 officialKRATZER, DEBORAH (OFFICE MANAGER)