Dental
Kids Tooth Team
Kids Tooth Team was paid $948K by Medicaid between Nov 2020 and Dec 2024, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 20% of everything it billed.
33Billing provider infoKIDS TOOTH TEAM
BUDA, TX 78610
BUDA, TX 78610
33aNPI1003432238assigned 06/23/2020
33bProvider typePediatric Dentist
28Total paid$948K
24GClaims39,901
24DCodes billed22
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#196 of 693
Median peer was paid$252K
This provider vs. median3.8×
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 | 313 | $6K | |
| 2021 | 7,011 | $234K | |
| 2022 | 10,977 | $284K | |
| 2023 | 11,825 | $239K | |
| 2024incomplete | 9,775 | $184K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 20% | 1,530 | 305 | $190K |
| D0145 | Oral evaluation for a patient under three years of age | 18% | 1,261 | 1,239 | $167K |
| D1351 | Sealant - per tooth | 12% | 4,645 | 821 | $112K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 3,453 | 3,305 | $112K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.8% | 2,841 | 2,710 | $74K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.0% | 7,864 | 2,845 | $67K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 3,439 | 3,237 | $35K |
| D0272 | Bitewings - two radiographic images | 3.6% | 1,997 | 1,892 | $34K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 995 | 942 | $30K |
| D1208 | Topical application of fluoride, excluding varnish | 2.9% | 2,014 | 1,937 | $27K |
| D1206 | Topical application of fluoride varnish | 2.2% | 1,680 | 1,566 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | 1.8% | 319 | 114 | $17K |
10 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.4% | 551 | $13K |
| D1110 | Prophylaxis - adult | 1.3% | 263 | $13K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 683 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.1% | 127 | $11K |
| D0330 | Panoramic radiographic image | <1% | 215 | $7K |
| D0274 | Bitewings - four radiographic images | <1% | 204 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 43 | $3K |
| D0160 | <1% | 27 | $327.41 | |
| D0603 | 0% | 5,717 | $0.00 | |
| D1330 | 0% | 33 | $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 officialOTTO, ALEXANDRA (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Kids Tooth Team South Austin PLLC | Austin, TX | $786K |
| Kids Tooth Team Kyle, PLLC | Kyle, TX | $98K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.