Dental
Pediatric Dentistry of Sherman, PA
Pediatric Dentistry of Sherman, PA was paid $138K by Medicaid between Oct 2020 and Sep 2021, across 19 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 19% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF SHERMAN, PA
PRINCETON, TX 75407
PRINCETON, TX 75407
33aNPI1245516574assigned 11/01/2011
33bProvider typePediatric Dentist
28Total paid$138K
24GClaims5,446
24DCodes billed19
24AFirst – last monthOct 2020 – Sep 2021
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#410 of 693
Median peer was paid$252K
This provider vs. median0.5×
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.
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 | 997 | $23K | |
| 2021 | 4,449 | $115K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 19% | 179 | 41 | $26K |
| D0145 | Oral evaluation for a patient under three years of age | 17% | 186 | 178 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 642 | 615 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 593 | 568 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.4% | 104 | 59 | $10K |
| D1206 | Topical application of fluoride varnish | 6.5% | 708 | 683 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.6% | 100 | 65 | $8K |
| D0240 | 5.2% | 825 | 399 | $7K | |
| D0272 | Bitewings - two radiographic images | 3.3% | 241 | 231 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 299 | 106 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.9% | 101 | 91 | $3K |
| D1351 | Sealant - per tooth | 1.6% | 78 | 25 | $2K |
7 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 178 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 62 | $2K |
| D1110 | Prophylaxis - adult | 1.0% | 27 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 29 | $507.06 |
| D0274 | Bitewings - four radiographic images | <1% | 14 | $484.54 |
| D0603 | 0% | 960 | $0.00 | |
| D1999 | 0% | 120 | $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 officialWILLIAMSON, ROBERT (DIRECTOR/OWNER)
Parent organizationPEDIATRIC DENTISTRY OF SHERMAN, PA
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dentistry of Sherman, PA | Sherman, TX | $5.28M |
| Robert T. Williamson, MD Dba Indiana Eyecare Center | Lafayette, IN | $62K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.