Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Texarkana › NPI 1306131784
Dental

Pediatric Dentistry of Texarkana PLLC

Pediatric Dentistry of Texarkana PLLC was paid $9.10M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 20% of everything it billed.

33Billing provider infoPEDIATRIC DENTISTRY OF TEXARKANA PLLC
TEXARKANA, TX 75503
33aNPI1306131784assigned 06/14/2011
33bProvider typePediatric Dentist
28Total paid$9.10M
24GClaims281,555
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Texas

Rank by total paid#7 of 693
Median peer was paid$252K
This provider vs. median36×

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

$0$100K$200K$300K2018201920202021202220232024
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
201822,164$800K
201921,561$725K
202020,928$639K
202150,379$1.57M
202257,228$1.82M
202356,949$1.88M
2024incomplete52,346$1.66M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 20% 13,364 3,205 $1.82M
D1120 Dental cleaning, childProphylaxis - child 10% 26,022 25,709 $912K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 9.0% 30,562 30,230 $818K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 6.2% 6,795 2,517 $567K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 5.9% 6,360 3,248 $539K
D0272 Bitewings - two radiographic images 5.5% 23,363 23,108 $504K
D1206 Topical application of fluoride varnish 5.5% 30,431 30,117 $500K
D0220 Intraoral - periapical first radiographic image 4.7% 28,450 28,026 $427K
D1110 Prophylaxis - adult 4.2% 7,798 7,740 $386K
D0230 Intraoral - periapical each additional radiographic image 3.8% 29,017 26,158 $346K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.7% 5,110 2,971 $335K
D2934 2.8% 1,814 498 $255K
19 more codes
D9248 2.7% 2,430 $245K
D7140 Extraction, erupted tooth or exposed root 2.5% 3,890 $229K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.1% 8,082 $187K
D0210 Intraoral - complete series of radiographic images 1.8% 2,312 $167K
D0140 Limited oral evaluation - problem focused 1.2% 3,979 $112K
D0274 Bitewings - four radiographic images 1.2% 3,669 $108K
D2150 Silver amalgam - two surfaces, primary or permanent 1.0% 1,174 $92K
D1351 Sealant - per tooth <1% 3,367 $88K
D2330 <1% 1,049 $75K
D2140 <1% 1,148 $74K
D0330 Panoramic radiographic image <1% 2,665 $62K
D1208 Topical application of fluoride, excluding varnish <1% 3,197 $61K
D0150 Comprehensive oral evaluation - new or established patient <1% 1,852 $61K
D1510 <1% 360 $56K
D0603 <1% 20,381 $46K
D0602 <1% 11,212 $22K
D2332 <1% 58 $6K
D0270 <1% 86 $551.69
D1999 <1% 1,558 $5.00

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 officialGLASS, DAVID (DENTIST)
Same official

Other billing entities under GLASS, DAVID

Full network →
ProviderLocationPaid
Kids Dental Center PLLCAtlanta, TX$4.24M

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