Dental
Manzanita Kids Dentistry & Orthodontics, PLLC
Manzanita Kids Dentistry & Orthodontics, PLLC was paid $917K by Medicaid between Nov 2020 and Dec 2024, across 20 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 27% of everything it billed.
33Billing provider infoMANZANITA KIDS DENTISTRY & ORTHODONTICS, PLLC
AUSTIN, TX 78754
AUSTIN, TX 78754
33aNPI1104209535assigned 07/02/2015
33bProvider typePediatric Dentist
28Total paid$917K
24GClaims32,337
24DCodes billed20
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#199 of 693
Median peer was paid$252K
This provider vs. median3.6×
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
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 | 432 | $10K | |
| 2021 | 4,843 | $131K | |
| 2022 | 8,984 | $263K | |
| 2023 | 9,326 | $267K | |
| 2024incomplete | 8,752 | $245K |
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 | 27% | 1,757 | 1,748 | $247K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 3,425 | 3,399 | $123K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.8% | 3,165 | 3,143 | $90K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.0% | 512 | 224 | $73K |
| D0272 | Bitewings - two radiographic images | 6.3% | 2,587 | 2,567 | $57K |
| D1206 | Topical application of fluoride varnish | 6.0% | 3,781 | 3,754 | $55K |
| D1351 | Sealant - per tooth | 5.3% | 1,822 | 572 | $49K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 3,084 | 1,597 | $35K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 988 | 978 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.6% | 339 | 254 | $33K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.4% | 1,161 | 1,102 | $31K |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 2,359 | 2,294 | $28K |
8 more codes
| D1110 | Prophylaxis - adult | 2.6% | 437 | $23K |
| D0274 | Bitewings - four radiographic images | 2.0% | 568 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 205 | $15K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 47 | $3K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 18 | $1K |
| D0330 | Panoramic radiographic image | <1% | 55 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 27 | $396.90 |
| D0603 | 0% | 6,000 | $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 officialYANEZ, GLORIA (PEDIATRIC DENTIST)