Dental
Pediatric Pro Children's Dentistry & Orthodontics
Pediatric Pro Children's Dentistry & Orthodontics was paid $3.12M by Medicaid between Feb 2020 and Dec 2024, across 32 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 28% of everything it billed.
33Billing provider infoPEDIATRIC PRO CHILDREN'S DENTISTRY & ORTHODONTICS
GARLAND, TX 75041
GARLAND, TX 75041
33aNPI1114312154assigned 04/06/2015
33bProvider typePediatric Dentist
28Total paid$3.12M
24GClaims114,734
24DCodes billed32
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#69 of 693
Median peer was paid$252K
This provider vs. median12×
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 | 2,912 | $80K | |
| 2021 | 25,430 | $630K | |
| 2022 | 32,019 | $914K | |
| 2023 | 31,070 | $881K | |
| 2024incomplete | 23,303 | $618K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 28% | 6,787 | 1,146 | $879K |
| D0145 | Oral evaluation for a patient under three years of age | 9.5% | 2,159 | 2,142 | $298K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.0% | 29,023 | 8,178 | $281K |
| D1351 | Sealant - per tooth | 8.2% | 9,855 | 2,100 | $256K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.5% | 5,842 | 5,771 | $202K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 5.4% | 2,164 | 609 | $169K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.4% | 6,076 | 6,017 | $168K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.8% | 1,297 | 589 | $118K |
| D2933 | 3.3% | 826 | 189 | $104K | |
| D1208 | Topical application of fluoride, excluding varnish | 3.1% | 6,989 | 6,913 | $98K |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 9,007 | 8,793 | $96K |
| D7140 | Extraction, erupted tooth or exposed root | 2.4% | 1,461 | 617 | $76K |
20 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 2,067 | $67K |
| D1110 | Prophylaxis - adult | 1.7% | 1,060 | $54K |
| D0274 | Bitewings - four radiographic images | 1.7% | 1,985 | $54K |
| D9248 | 1.6% | 433 | $50K | |
| D0330 | Panoramic radiographic image | <1% | 757 | $27K |
| D0272 | Bitewings - two radiographic images | <1% | 1,375 | $26K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 887 | $23K |
| D1330 | <1% | 2,189 | $20K | |
| D0350 | <1% | 1,317 | $17K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 944 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 210 | $14K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 81 | $5K |
| D1510 | <1% | 26 | $4K | |
| D2330 | <1% | 25 | $2K | |
| D1354 | <1% | 100 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 18 | $205.80 |
| D7111 | <1% | 14 | $149.11 | |
| D3120 | <1% | 59 | $57.34 | |
| D1999 | 0% | 9,026 | $0.00 | |
| D0603 | 0% | 10,675 | $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 officialBAYAT, ALI (OWNER PEDIATRIC DENTIST)