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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAffiliated Pediatric Dentistry
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    Affiliated Pediatric Dentistry — Billing Profile & Reimbursement Data

    NPI 1134477425 · Scranton, PA · Point of Service

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    Affiliated Pediatric Dentistry is a point of service provider located in Scranton, Pennsylvania. This profile covers 0 Medicare and 47 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAffiliated Pediatric Dentistry
    Address313 Mulberry St
    CityScranton
    StatePA
    ZIP18503
    TaxonomyPoint of Service
    NPI EnumeratedAugust 17, 2012

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$10.9M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    47 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D9248N/A5,060$270$1.3M
    D2930N/A6,930$140$942.5K
    D1351Sealant - per tooth24,550$40$859.2K
    D0120Periodic oral evaluation - established patient26,110$30$835.5K
    D1120Prophylaxis–child21,390$40$834.1K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients30,700$20$675.4K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth10,630$60$616.6K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)7,420$80$600.8K
    D2392Post 2 surface resin‑based composite5,080$110$568.6K
    D2391Resin‑based composite – one surface, posterior4,360$80$362K

    Showing 1–10 of 47

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Pennsylvania median

    47 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D8670N/A64250310$250$253.5K
    D8080N/A638070$980$237.5K
    D2930N/A6200290$200$223.1K
    D9248N/A140180$240$133.6K
    D0340N/A52050$60$63.3K
    D9920N/A78140130$120$56.9K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)11710230$70$49.7K
    D1351Sealant - per tooth4600480$30$46.6K
    D2390N/A1220180$160$42K
    D2392Post 2 surface resin‑based composite11960190$70$35.1K

    Showing 1–10 of 47

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Affiliated Pediatric Dentistry, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ross M Wezmar, Dds, PCPAPediatric Dentistry$0$10.4M
    Stephany LiuSDPediatric Dentistry$0$840.7K

    Nearby Providers

    Other providers in the same ZIP code as Affiliated Pediatric Dentistry, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family Enrichment Center, IncPAPsychologist$0$12.9M
    Randall PeairsPAOphthalmology Physician$5.6M$13.5K
    Nei Ambulatory Surgery Center Inc PCPAAmbulatory Surgical Clinic/Center$2.7M$353.3K
    Michael O'donnellPAMOHS-Micrographic Surgery Physician$675.9K$0
    Mark SuchterPADermatology Physician$548.7K$0
    Thomas BolandPAOphthalmology Physician$457.5K$0
    Donald PreatePAUrology Physician$432.4K$12K
    Jerome JordanPAOphthalmology Physician$440.1K$0
    Christopher JordanPAOphthalmology Physician$375.9K$0
    Joseph GiacomettiPAOphthalmic Plastic and Reconstructive Surgery Physician$282K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Pennsylvania Providers
    3 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Affiliated Pediatric Dentistry — 24 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania