LWL Dental Group, PLLC

LWL Dental Group, PLLC was paid $10K by Medicaid between Dec 2020 and May 2021, across 6 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 28% of everything it billed.

33Billing provider infoLWL DENTAL GROUP, PLLC
KATY, TX 77494

33aNPI1003231242assigned 02/25/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$10K

24GClaims799

24DCodes billed6

24AFirst – last monthDec 2020 – May 2021

Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#1,872 of 2,774

Median peer was paid$43K

This provider vs. median0.2×

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
2020	96	$1K
2021	703	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0230	Intraoral - periapical each additional radiographic image	28%	258	113	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	80	80	$2K
D1208	Topical application of fluoride, excluding varnish	20%	143	143	$2K
D0220	Intraoral - periapical first radiographic image	18%	151	151	$2K
D1120	Dental cleaning, childProphylaxis - child	12%	33	33	$1K
D0602		0%	134	133	$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 officialPETROPOULOS, PAMELA (OFFICE MANAGER)