Clinic
Lake Forest Family Dental PC
Lake Forest Family Dental PC was paid $17K by Medicaid between Apr 2021 and Dec 2021, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.
33Billing provider infoLAKE FOREST FAMILY DENTAL PC
MCKINNEY, TX 75071
MCKINNEY, TX 75071
33aNPI1023614872assigned 12/08/2020
33bProvider typeDental Clinic/Center
28Total paid$17K
24GClaims1,008
24DCodes billed8
24AFirst – last monthApr 2021 – Dec 2021
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#178 of 255
Median peer was paid$110K
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 | |
|---|---|---|---|
| 2021 | 1,008 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 148 | 148 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 92 | 92 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 26 | 12 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 163 | 163 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 12% | 169 | 167 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 167 | 164 | $2K |
| D0272 | Bitewings - two radiographic images | 5.1% | 41 | 41 | $841.68 |
| D0603 | 0% | 202 | 200 | $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 officialCHA, STEVE (PRESIDENT)