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

Elgin Pediatric Dental PLLC

Elgin Pediatric Dental PLLC was paid $397K by Medicaid between Nov 2020 and Jun 2021, across 21 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 14% of everything it billed.

33Billing provider infoELGIN PEDIATRIC DENTAL PLLC
ELGIN, TX 78621
33aNPI1235587700assigned 05/25/2016
33bProvider typePediatric Dentist
28Total paid$397K
24GClaims16,271
24DCodes billed21
24AFirst – last monthNov 2020 – Jun 2021
Compared with peers

Next to other Pediatric Dentist providers in Texas

Rank by total paid#294 of 693
Median peer was paid$252K
This provider vs. median1.6×

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.

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$25K$50K$75K2018201920202021202220232024
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
20202,552$59K
202113,719$338K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0145 Oral evaluation for a patient under three years of age 14% 410 407 $55K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 12% 504 234 $46K
D1351 Sealant - per tooth 10% 1,656 353 $41K
D1120 Dental cleaning, childProphylaxis - child 9.8% 1,138 1,119 $39K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 8.9% 1,304 1,278 $35K
D0230 Intraoral - periapical each additional radiographic image 6.4% 2,837 1,517 $25K
D1208 Topical application of fluoride, excluding varnish 5.1% 1,483 1,450 $20K
D0272 Bitewings - two radiographic images 4.8% 941 926 $19K
D1110 Prophylaxis - adult 4.7% 371 360 $19K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4.4% 258 157 $17K
D0220 Intraoral - periapical first radiographic image 4.3% 1,609 1,570 $17K
D0274 Bitewings - four radiographic images 3.2% 428 414 $13K
9 more codes
D2930 Prefabricated stainless steel crown - primary tooth 2.8% 88 $11K
D9248 2.5% 107 $10K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.1% 342 $8K
D0150 Comprehensive oral evaluation - new or established patient 2.0% 238 $8K
D0210 Intraoral - complete series of radiographic images 1.5% 96 $6K
D0330 Panoramic radiographic image <1% 286 $3K
D0140 Limited oral evaluation - problem focused <1% 130 $2K
D7140 Extraction, erupted tooth or exposed root <1% 39 $2K
D0603 0% 2,006 $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 (DENTIST/OWNER)
Same official

Other billing entities under MONTGOMERY, MARTY

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