Pediatric Dental Associates, LLC — Billing Profile & Reimbursement Data
NPI 1700056124 · Pell City, AL · Pediatric Dentistry
Customize your policy alerts
Sign up for Pediatric Dental Associates, LLC — Billing Profile & Reimbursement Data policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Pediatric Dental Associates, LLC is a pediatric dentistry provider located in Pell City, Alabama. This profile covers 0 Medicare and 22 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Pediatric Dental Associates, LLC |
| Address | 2806 Dr John Haynes Dr Ste B |
| City | Pell City |
| State | AL |
| ZIP | 35125 |
| Taxonomy | Pediatric Dentistry |
| NPI Enumerated | March 3, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.5M |
| 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.
22 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| D1120 | Prophylaxis–child | 28,940 | $30 | $810.4K |
| D2930 | N/A | 7,160 | $100 | $694.8K |
| D0120 | Periodic oral evaluation - established patient | 34,740 | $20 | $660.1K |
| D1208 | Topical application of fluoride - excluding varnish | 39,350 | $10 | $550.9K |
| D1999 | N/A | 23,330 | $20 | $443.3K |
| D0330 | N/A | 6,830 | $50 | $307.4K |
| D0272 | N/A | 17,180 | $20 | $292K |
| D1110 | Prophylaxis - adult; cleaning and polishing of the teeth | 7,700 | $40 | $277.3K |
| D2392 | Post 2 surface resin‑based composite | 3,000 | $80 | $228K |
| D9230 | N/A | 10,800 | $20 | $226.8K |
Showing 1–10 of 22
Medicaid: Competitive Analysis & Benchmarks
How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Alabama median
22 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| D2930 | N/A | 11 | 120 | 1,240 | $90 | $233.9K |
| D1354 | N/A | 77 | 90 | 1,190 | $20 | $210.5K |
| D2392 | Post 2 surface resin‑based composite | 59 | 280 | 520 | $70 | $144.9K |
| D1120 | Prophylaxis–child | 15 | 520 | 810 | $30 | $104.3K |
| D2391 | Resin‑based composite – one surface, posterior | 38 | 250 | 380 | $60 | $91.8K |
| D1999 | N/A | 15 | 300 | 1,280 | $20 | $81.5K |
| D0120 | Periodic oral evaluation - established patient | 16 | 620 | 810 | $20 | $77.2K |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 30 | 190 | 490 | $50 | $76.2K |
| D0240 | N/A | 22 | 70 | 1,300 | $20 | $65.2K |
| D1351 | Sealant - per tooth | 20 | 180 | 710 | $20 | $63.3K |
Showing 1–10 of 22
Nearby Providers
Other providers in the same ZIP code as Pediatric Dental Associates, LLC, ranked by combined Medicare and Medicaid revenue.
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 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.