Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Arlington › NPI 1023126786
Dental

Pediatric Dentistry Arlington South, PLLC

Pediatric Dentistry Arlington South, PLLC was paid $656K by Medicaid between Nov 2020 and Dec 2024, across 15 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 17% of everything it billed.

33Billing provider infoPEDIATRIC DENTISTRY ARLINGTON SOUTH, PLLC
ARLINGTON, TX 76016
33aNPI1023126786assigned 08/25/2006
33bProvider typePediatric Dentist
28Total paid$656K
24GClaims28,221
24DCodes billed15
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Texas

Rank by total paid#239 of 693
Median peer was paid$252K
This provider vs. median2.6×

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$10K$20K$30K2018201920202021202220232024
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
2020589$8K
20217,564$184K
20227,415$186K
20235,323$121K
2024incomplete7,330$156K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0145 Oral evaluation for a patient under three years of age 17% 858 803 $112K
D1120 Dental cleaning, childProphylaxis - child 14% 2,679 2,558 $91K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 12% 2,951 2,828 $79K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 9.1% 687 387 $59K
D0272 Bitewings - two radiographic images 8.0% 2,370 2,282 $52K
D2930 Prefabricated stainless steel crown - primary tooth 7.3% 355 155 $48K
D0230 Intraoral - periapical each additional radiographic image 7.3% 4,550 2,728 $48K
D1208 Topical application of fluoride, excluding varnish 6.9% 3,290 3,152 $45K
D0220 Intraoral - periapical first radiographic image 5.4% 3,077 2,911 $36K
D1351 Sealant - per tooth 5.1% 1,287 325 $33K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.9% 784 685 $19K
D1110 Prophylaxis - adult 2.7% 331 324 $18K
3 more codes
D0330 Panoramic radiographic image 1.4% 154 $9K
D0150 Comprehensive oral evaluation - new or established patient <1% 180 $6K
D0603 0% 4,668 $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 officialMILLER, CHARLES (OWNER)
Same official

Other billing entities under MILLER, CHARLES

Full network →
ProviderLocationPaid
Fundentist-NorthArlington, TX$1.93M
Raintree Dental PCNew Castle, IN$116K
Unaka Internal Medicine, LLCErwin, TN$108K
Charles E Miller Od SCMarshfield, WI$17K
Charles N. Miller DDS PAFaribault, MN$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.