Dental
Lucky Kids Dental, PC
Lucky Kids Dental, PC was paid $410K by Medicaid between Nov 2020 and Oct 2024, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoLUCKY KIDS DENTAL, PC
PLANO, TX 75075
PLANO, TX 75075
33aNPI1326472051assigned 08/29/2013
33bProvider typePediatric Dentist
28Total paid$410K
24GClaims20,293
24DCodes billed20
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#292 of 693
Median peer was paid$252K
This provider vs. median1.6×
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 | 512 | $10K | |
| 2021 | 5,038 | $115K | |
| 2022 | 5,894 | $139K | |
| 2023 | 5,655 | $98K | |
| 2024incomplete | 3,194 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 2,494 | 2,433 | $89K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 2,828 | 2,761 | $79K |
| D0145 | Oral evaluation for a patient under three years of age | 13% | 386 | 379 | $53K |
| D0272 | Bitewings - two radiographic images | 9.8% | 1,885 | 1,852 | $40K |
| D1206 | Topical application of fluoride varnish | 9.6% | 2,768 | 2,705 | $40K |
| D1351 | Sealant - per tooth | 6.5% | 1,045 | 192 | $27K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.4% | 234 | 93 | $22K |
| D0220 | Intraoral - periapical first radiographic image | 4.5% | 1,592 | 1,540 | $18K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.0% | 1,619 | 1,304 | $16K |
| D1110 | Prophylaxis - adult | 2.4% | 187 | 183 | $10K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 183 | 178 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.0% | 58 | 29 | $4K |
8 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 48 | $2K |
| D9248 | <1% | 13 | $2K | |
| D0274 | Bitewings - four radiographic images | <1% | 37 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 67 | $970.20 |
| D1330 | <1% | 1,115 | $661.50 | |
| D0330 | Panoramic radiographic image | <1% | 16 | $472.92 |
| D0603 | 0% | 3,593 | $0.00 | |
| D0602 | 0% | 125 | $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 officialMCKNIGHT, NICOLE (OFFICE MANAGER)