IKIDS PEDIATRIC DENTISTRY LAKEWOOD, PLLC

NPI: 1316564990 · DALLAS, TX 75214 · Pediatric Dentist · NPI assigned 06/30/2020

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official AGUILAR, ALYSSA controls 11+ related entities in our dataset. Read more

$2K

Total Medicaid Paid

126

Total Claims

123

Beneficiaries

Codes Billed

2021-03

First Month

2021-09

Last Month

Provider Details

Authorized Official	AGUILAR, ALYSSA (DIRECTOR OF REVENUE & CREDENTIALING)
NPI Enumeration Date	06/30/2020

Other providers sharing the same authorized official: AGUILAR, ALYSSA

Provider	City	State	Total Paid
IKIDS PEDIATRIC DENTISTRY ARLINGTON	ARLINGTON	TX	$1.05M
IKIDS PEDIATRIC DENTISTRY FORT WORTH, P.C.	FORT WORTH	TX	$948K
IKIDS PEDIATRIC DENTISTRY AND ORTHODONTICS NFW	FORT WORTH	TX	$856K
IKIDS PEDIATRIC DENTISTRY BURLESON, PLLC	BURLESON	TX	$769K
IKIDS PEDIATRIC DENTISTRY, PC	MANSFIELD	TX	$518K
IKIDS PEDIATRIC DENTISTRY ENNIS, PLLC	ENNIS	TX	$432K
IKIDS PEDIATRIC DENTISTRY CEDAR HILL, PLLC	CEDAR HILL	TX	$410K
IKIDS PEDIATRIC DENTISTRY DENTON, PLLC	DENTON	TX	$263K
IKIDS PEDIATRIC DENTISTRY WAXAHACHIE PLLC	WAXAHACHIE	TX	$179K
IKIDS PEDIATRIC DENTISTRY TYLER, PLLC	TYLER	TX	$149K
IKIDS PEDIATRIC DENTISTRY VIRIDIAN, PLLC	ARLINGTON	TX	$121K

Year	Claims	Total Paid
2021	126	$2K

Code	Description	Claims	Beneficiaries	Total Paid
D1120	Prophylaxis - child	27	27	$882.00
D1206	Topical application of fluoride varnish	28	28	$352.80
D0220	Intraoral - periapical first radiographic image	12	12	$138.16
D0230	Intraoral - periapical each additional radiographic image	13	12	$138.12
D0603		46	44	$0.00