Dental
Lakeline Family Dental
Lakeline Family Dental was paid $28K by Medicaid between Mar 2021 and Dec 2024, across 11 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 28% of everything it billed.
33Billing provider infoLAKELINE FAMILY DENTAL
CEDAR PARK, TX 78613
CEDAR PARK, TX 78613
33aNPI1043612963assigned 09/23/2014
33bProvider typeDentist
28Total paid$28K
24GClaims1,870
24DCodes billed11
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#879 of 1,678
Median peer was paid$35K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2021 | 171 | $2K | |
| 2022 | 512 | $7K | |
| 2023 | 735 | $14K | |
| 2024incomplete | 452 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 28% | 59 | 54 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 401 | 329 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 14% | 394 | 322 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 154 | 129 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 10% | 330 | 240 | $3K |
| D1110 | Prophylaxis - adult | 9.3% | 57 | 49 | $3K |
| D0274 | Bitewings - four radiographic images | 7.7% | 77 | 65 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.6% | 13 | 12 | $441.00 |
| D0602 | 0% | 286 | 250 | $0.00 | |
| D0601 | 0% | 84 | 68 | $0.00 | |
| D0603 | 0% | 15 | 13 | $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 officialPRAKASH, AMITA (DENTIST)