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    OpenPayerNPI Medicare & MedicaidPediatric Dentistry Of Maryland, LLC
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    Pediatric Dentistry Of Maryland, LLC — Billing Profile & Reimbursement Data

    NPI 1609491679 · Riverdale Park, MD · Pediatric Dentistry

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    Pediatric Dentistry Of Maryland, LLC is a pediatric dentistry provider located in Riverdale Park, Maryland. This profile covers 0 Medicare and 26 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
    OrganizationPediatric Dentistry Of Maryland, LLC
    Address4595 Van Buren St Ste 230
    CityRiverdale Park
    StateMD
    ZIP20737
    TaxonomyPediatric Dentistry
    NPI EnumeratedJune 15, 2020

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

    Payer SourceTotal Paid
    Medicaid$5.7M
    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2930N/A4,990$170$853.8K
    D1120Prophylaxis–child16,550$50$761.4K
    D2392Post 2 surface resin‑based composite5,350$130$701K
    D1351Sealant - per tooth14,640$40$527K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients20,600$30$515K
    D0120Periodic oral evaluation - established patient13,250$30$410.8K
    D0150Comprehensive oral evaluation – new or established patient7,010$50$378.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)2,520$120$310.2K
    D2391Resin‑based composite – one surface, posterior2,180$100$219.8K
    D0272N/A9,490$20$151.9K

    Showing 1–10 of 26

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Maryland median

    26 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A15140530$160$362K
    D2392Post 2 surface resin‑based composite31670330$120$172.5K
    D1351Sealant - per tooth31410890$30$165.8K
    D1120Prophylaxis–child38820450$40$141.3K
    D9248N/A1860250$180$124.5K
    D2391Resin‑based composite – one surface, posterior63510250$90$106K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)38390250$100$93.2K
    D2393Resin-based composite, three surfaces, posterior244340160$160$89.1K
    D0120Periodic oral evaluation - established patient511,150500$30$81.1K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients30870700$20$79.7K

    Showing 1–10 of 26

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Better MorningMDCommunity/Behavioral Health Agency$0$29.3M
    Providence Care IncMDDevelopmental Disabilities Clinic/Center$0$12.2M
    Riverdale Park Pediatrics PCMDPediatrics Physician$0$9.9M
    Cunping QiuMDGeneral Practice Dentistry$0$5.6M
    C & A Behaviorial Health Services LLCMDMental Health Clinic/Center (Including Community Mental Health Center)$0$5.4M
    Edge Medical Care PCMDPrimary Care Clinic/Center$0$4.6M
    Sureshkumar MuttathMDInternal Medicine Physician$698.5K$0
    Michael SummerfieldMDOphthalmology Physician$648.3K$0
    Babak RaziMDNephrology Physician$443.5K$0
    Reva GillMDInternal Medicine Physician$386.5K$1K

    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. Maryland Providers
    1 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    Pediatric Dentistry Of Maryland, LLC — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland