Dental
Pediatric Dental Team
Pediatric Dental Team was paid $1.57M by Medicaid between Jun 2021 and Dec 2024, across 24 billing codes. Its largest line is D0120, dental checkup, returning patient — 13% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL TEAM
PHILADELPHIA, PA 19148
PHILADELPHIA, PA 19148
33aNPI1992359194assigned 07/26/2019
33bProvider typePediatric Dentist
28Total paid$1.57M
24GClaims53,947
24DCodes billed24
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#10 of 237
Median peer was paid$109K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2021 | 55 | $1K | |
| 2022 | 196 | $5K | |
| 2023 | 2,345 | $45K | |
| 2024incomplete | 51,351 | $1.52M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 7,830 | 7,779 | $205K |
| D1351 | Sealant - per tooth | 12% | 4,779 | 1,715 | $190K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 5,609 | 5,573 | $172K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.8% | 1,926 | 1,650 | $154K |
| D0272 | Bitewings - two radiographic images | 8.7% | 7,075 | 7,022 | $137K |
| D1110 | Prophylaxis - adult | 8.4% | 3,117 | 3,103 | $132K |
| D1208 | Topical application of fluoride, excluding varnish | 8.1% | 6,657 | 6,607 | $127K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.7% | 3,208 | 3,139 | $121K |
| D0603 | 4.6% | 7,334 | 7,316 | $73K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.3% | 1,094 | 970 | $68K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.2% | 237 | 226 | $50K |
| D7140 | Extraction, erupted tooth or exposed root | 2.7% | 547 | 436 | $43K |
12 more codes
| D1206 | Topical application of fluoride varnish | 2.4% | 1,690 | $38K |
| D0330 | Panoramic radiographic image | 1.5% | 522 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 548 | $15K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 228 | $6K |
| D0240 | <1% | 203 | $5K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 402 | $4K |
| D1354 | <1% | 338 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 81 | $2K |
| D1330 | <1% | 360 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 18 | $2K |
| D0602 | <1% | 132 | $1K | |
| D2330 | <1% | 12 | $1K |
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 officialUFFNER, NEIL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Broad Street Braces | Philadelphia, PA | $29K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.