Dental
Killeen Pediatric Dentistry PLLC
Killeen Pediatric Dentistry PLLC was paid $2.61M by Medicaid between Dec 2019 and Dec 2024, across 23 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 14% of everything it billed.
33Billing provider infoKILLEEN PEDIATRIC DENTISTRY PLLC
HARKER HEIGHTS, TX 76548
HARKER HEIGHTS, TX 76548
33aNPI1174910087assigned 04/17/2015
33bProvider typePediatric Dentist
28Total paid$2.61M
24GClaims94,965
24DCodes billed23
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#91 of 693
Median peer was paid$252K
This provider vs. median10×
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 | |
|---|---|---|---|
| 2019 | 13 | $0.00 | |
| 2020 | 2,867 | $74K | |
| 2021 | 24,255 | $695K | |
| 2022 | 23,829 | $670K | |
| 2023 | 24,522 | $645K | |
| 2024incomplete | 19,479 | $524K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 2,765 | 1,156 | $377K |
| D1351 | Sealant - per tooth | 13% | 12,938 | 2,385 | $339K |
| D0145 | Oral evaluation for a patient under three years of age | 13% | 2,393 | 2,389 | $333K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.6% | 7,403 | 7,361 | $251K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.2% | 8,018 | 7,965 | $213K |
| D0272 | Bitewings - two radiographic images | 4.8% | 6,690 | 6,659 | $125K |
| D1206 | Topical application of fluoride varnish | 4.8% | 9,235 | 9,180 | $125K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.1% | 1,192 | 846 | $107K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.1% | 1,476 | 1,023 | $106K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 8,847 | 8,692 | $101K |
| D1110 | Prophylaxis - adult | 3.7% | 1,992 | 1,982 | $97K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 8,875 | 7,904 | $93K |
11 more codes
| D0330 | Panoramic radiographic image | 2.3% | 1,577 | $60K |
| D0274 | Bitewings - four radiographic images | 2.3% | 1,900 | $59K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 2,181 | $57K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 1,615 | $53K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 666 | $36K |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 534 | $34K |
| D0350 | 1.0% | 1,655 | $26K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 591 | $10K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 60 | $5K |
| D1510 | <1% | 12 | $2K | |
| D0603 | 0% | 12,350 | $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 officialALY, CARLY (REGIONAL MANAGER)