Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

North Austin Pediatric Dental, PLLC

North Austin Pediatric Dental, PLLC was paid $874K by Medicaid between Jan 2018 and Jul 2022, across 22 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 13% of everything it billed.

33Billing provider infoNORTH AUSTIN PEDIATRIC DENTAL, PLLC
AUSTIN, TX 78758
33aNPI1215280557assigned 10/24/2012
33bProvider typePediatric Dentist
28Total paid$874K
24GClaims35,289
24DCodes billed22
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers

Next to other Pediatric Dentist providers in Texas

Rank by total paid#205 of 693
Median peer was paid$252K
This provider vs. median3.5×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MONTGOMERY, MARTY controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
2018516$6K
2019501$7K
20207,174$178K
202127,045$683K
202253$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0145 Oral evaluation for a patient under three years of age 13% 793 790 $111K
D1351 Sealant - per tooth 12% 4,091 1,152 $107K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 3,356 3,327 $95K
D1120 Dental cleaning, childProphylaxis - child 11% 2,571 2,552 $92K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 7.4% 698 402 $65K
D1208 Topical application of fluoride, excluding varnish 5.9% 3,602 3,566 $52K
D0272 Bitewings - two radiographic images 5.9% 2,403 2,383 $51K
D0230 Intraoral - periapical each additional radiographic image 5.3% 4,583 3,660 $46K
D1110 Prophylaxis - adult 5.2% 856 844 $46K
D0220 Intraoral - periapical first radiographic image 4.9% 3,856 3,816 $43K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4.4% 520 357 $39K
D9248 3.1% 235 228 $27K
10 more codes
D0274 Bitewings - four radiographic images 2.9% 849 $25K
D2930 Prefabricated stainless steel crown - primary tooth 2.6% 156 $22K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.0% 663 $17K
D7140 Extraction, erupted tooth or exposed root 1.3% 207 $12K
D0210 Intraoral - complete series of radiographic images <1% 137 $8K
D0330 Panoramic radiographic image <1% 454 $6K
D0150 Comprehensive oral evaluation - new or established patient <1% 153 $5K
D0140 Limited oral evaluation - problem focused <1% 224 $4K
D0350 <1% 39 $441.12
D0603 0% 4,843 $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 officialMONTGOMERY, MARTY (PRESIDENT)
Same official

Other billing entities under MONTGOMERY, MARTY

Full network →
ProviderLocationPaid
Lone Star Pediatric Dental, PLLCAustin, TX$746K
Elgin Pediatric Dental PLLCElgin, TX$397K
Kyle Pediatric DentalKyle, TX$352K
LSPD at Killeen, PLLCKilleen, TX$259K
T & S Omfs PLLCAustin, TX$188K
Lakeway Pediatric Dental, PLLCAustin, TX$134K
Central Austin Pediatric Dental, PLLCAustin, TX$122K
LSPD at Cove PLLCCopperas Cove, TX$106K
LSPD at Circle C, PLLCAustin, TX$69K
Dripping Springs Pediatric Dental, PLLCDripping Springs, TX$28K
Children's Dental Ranch of New Braunfels, PLLCNew Braunfels, TX$22K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.