Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Kids First Pediatric Dentistry

Kids First Pediatric Dentistry was paid $1.26M by Medicaid between Dec 2020 and Dec 2024, across 24 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.

33Billing provider infoKIDS FIRST PEDIATRIC DENTISTRY
ROUND ROCK, TX 78665
33aNPI1043549173assigned 12/20/2009
33bProvider typePediatric Dentist
28Total paid$1.26M
24GClaims38,332
24DCodes billed24
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Texas

Rank by total paid#160 of 693
Median peer was paid$252K
This provider vs. median5.0×

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$20K$40K$60K2018201920202021202220232024
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
2020261$7K
20217,083$210K
202210,319$349K
202311,505$407K
2024incomplete9,164$284K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 17% 2,428 980 $216K
D2391 Resin-based composite - one surface, posterior, primary or permanent 13% 2,457 992 $164K
D1351 Sealant - per tooth 13% 6,335 1,392 $163K
D1120 Dental cleaning, childProphylaxis - child 8.8% 3,438 3,300 $111K
D0145 Oral evaluation for a patient under three years of age 8.2% 788 765 $103K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 7.5% 3,651 3,497 $94K
D2930 Prefabricated stainless steel crown - primary tooth 6.5% 623 242 $82K
D0272 Bitewings - two radiographic images 3.9% 2,432 2,323 $49K
D1110 Prophylaxis - adult 3.5% 942 894 $44K
D9248 3.4% 403 360 $43K
D1208 Topical application of fluoride, excluding varnish 3.2% 3,033 2,918 $40K
D0210 Intraoral - complete series of radiographic images 2.7% 516 499 $34K
12 more codes
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.6% 1,391 $32K
D0150 Comprehensive oral evaluation - new or established patient 2.1% 828 $26K
D1206 Topical application of fluoride varnish 1.3% 1,274 $16K
D0274 Bitewings - four radiographic images 1.1% 472 $14K
D0220 Intraoral - periapical first radiographic image <1% 1,012 $11K
D0230 Intraoral - periapical each additional radiographic image <1% 765 $7K
D7140 Extraction, erupted tooth or exposed root <1% 46 $3K
D0330 Panoramic radiographic image <1% 49 $2K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 22 $2K
D1330 <1% 34 $208.25
D0603 0% 5,018 $0.00
D0602 0% 375 $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 officialMENDOZA, MARIA (PEDIATRIC DENTIST)