Dental
Grapevine Kids PLLC
Grapevine Kids PLLC was paid $178K by Medicaid between Jan 2021 and Dec 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoGRAPEVINE KIDS PLLC
GRAPEVINE, TX 76051
GRAPEVINE, TX 76051
33aNPI1295397610assigned 07/05/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$178K
24GClaims10,849
24DCodes billed17
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#858 of 2,774
Median peer was paid$43K
This provider vs. median4.2×
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 | |
|---|---|---|---|
| 2021 | 1,992 | $18K | |
| 2022 | 2,723 | $43K | |
| 2023 | 2,724 | $51K | |
| 2024incomplete | 3,410 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 1,030 | 969 | $34K |
| D0145 | Oral evaluation for a patient under three years of age | 16% | 207 | 205 | $29K |
| D0230 | Intraoral - periapical each additional radiographic image | 14% | 2,740 | 1,168 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 730 | 704 | $20K |
| D1206 | Topical application of fluoride varnish | 9.9% | 1,333 | 1,247 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 8.3% | 1,541 | 1,339 | $15K |
| D1351 | Sealant - per tooth | 7.2% | 508 | 97 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 240 | 223 | $7K |
| D0274 | Bitewings - four radiographic images | 3.3% | 196 | 190 | $6K |
| D0272 | Bitewings - two radiographic images | 3.3% | 267 | 260 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.7% | 33 | 12 | $3K |
| D1110 | Prophylaxis - adult | <1% | 27 | 26 | $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 officialSCHOFIELD, LYLE (MANAGING MEMBER)