Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Dallas › NPI 1316564990
Dental

Ikids Pediatric Dentistry Lakewood, PLLC

Ikids Pediatric Dentistry Lakewood, PLLC was paid $2K by Medicaid between Mar 2021 and Sep 2021, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 58% of everything it billed.

33Billing provider infoIKIDS PEDIATRIC DENTISTRY LAKEWOOD, PLLC
DALLAS, TX 75214
33aNPI1316564990assigned 06/30/2020
33bProvider typePediatric Dentist
28Total paid$2K
24GClaims126
24DCodes billed5
24AFirst – last monthMar 2021 – Sep 2021
Compared with peers

Next to other Pediatric Dentist providers in Texas

Rank by total paid#633 of 693
Median peer was paid$252K
This provider vs. median0.0×

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 AGUILAR, ALYSSA controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500$1.0K2018201920202021202220232024
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
2021126$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 58% 27 27 $882.00
D1206 Topical application of fluoride varnish 23% 28 28 $352.80
D0220 Intraoral - periapical first radiographic image 9.1% 12 12 $138.16
D0230 Intraoral - periapical each additional radiographic image 9.1% 13 12 $138.12
D0603 0% 46 44 $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 officialAGUILAR, ALYSSA (DIRECTOR OF REVENUE & CREDENTIALING)
Same official

Other billing entities under AGUILAR, ALYSSA

Full network →

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