Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Bastrop › NPI 1003191677
Dental

Bastrop Family Dentistry

Bastrop Family Dentistry was paid $55K by Medicaid between Dec 2020 and Oct 2024, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 30% of everything it billed.

33Billing provider infoBASTROP FAMILY DENTISTRY
BASTROP, TX 78602
33aNPI1003191677assigned 10/14/2011
28Total paid$55K
24GClaims2,937
24DCodes billed11
24AFirst – last monthDec 2020 – Oct 2024
Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#1,301 of 2,774
Median peer was paid$43K
This provider vs. median1.3×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2020134$2K
20211,198$22K
2022966$18K
2023458$9K
2024incomplete181$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 30% 644 607 $17K
D1110 Prophylaxis - adult 21% 261 244 $11K
D1120 Dental cleaning, childProphylaxis - child 12% 216 200 $7K
D1208 Topical application of fluoride, excluding varnish 11% 477 456 $6K
D0274 Bitewings - four radiographic images 10% 190 176 $6K
D0220 Intraoral - periapical first radiographic image 7.6% 378 361 $4K
D0230 Intraoral - periapical each additional radiographic image 5.8% 312 296 $3K
D0272 Bitewings - two radiographic images 1.8% 46 44 $1K
D0601 0% 359 350 $0.00
D0603 0% 41 39 $0.00
D0602 0% 13 13 $0.00

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 officialRAWLINGS, TIMOTHY (OWNER/MANAGER)