Clinic
Bluebonnet Pediatric Dentistry PLLC
Bluebonnet Pediatric Dentistry PLLC was paid $74K by Medicaid between Sep 2023 and Dec 2024, across 17 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 23% of everything it billed.
33Billing provider infoBLUEBONNET PEDIATRIC DENTISTRY PLLC
BRENHAM, TX 77833
BRENHAM, TX 77833
33aNPI1114646676assigned 08/26/2022
33bProvider typeDental Clinic/Center
28Total paid$74K
24GClaims3,643
24DCodes billed17
24AFirst – last monthSep 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#142 of 255
Median peer was paid$110K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2023 | 274 | $3K | |
| 2024incomplete | 3,369 | $71K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 23% | 144 | 38 | $17K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 356 | 343 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 311 | 295 | $9K |
| D0145 | Oral evaluation for a patient under three years of age | 12% | 70 | 66 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 7.7% | 454 | 437 | $6K |
| D0240 | 5.0% | 484 | 217 | $4K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.4% | 131 | 127 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.9% | 316 | 116 | $3K |
| D0272 | Bitewings - two radiographic images | 3.9% | 137 | 129 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 241 | 220 | $2K |
| D1110 | Prophylaxis - adult | 2.5% | 51 | 49 | $2K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 88 | 83 | $1K |
5 more codes
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 officialAMES, JONATHAN (OWNER/DENTIST)