Dental
Cedar Smiles Pediatric Dentistry
Cedar Smiles Pediatric Dentistry was paid $5K by Medicaid between Mar 2023 and Sep 2024, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 42% of everything it billed.
33Billing provider infoCEDAR SMILES PEDIATRIC DENTISTRY
CEDAR PARK, TX 78613
CEDAR PARK, TX 78613
33aNPI1336719269assigned 07/01/2021
33bProvider typePediatric Dentist
28Total paid$5K
24GClaims363
24DCodes billed5
24AFirst – last monthMar 2023 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#601 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.
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 | |
|---|---|---|---|
| 2023 | 253 | $4K | |
| 2024incomplete | 110 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 42% | 57 | 57 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 38% | 68 | 68 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 18% | 60 | 60 | $882.00 |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 13 | 12 | $148.94 |
| D0603 | 0% | 165 | 164 | $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 officialNAIK, DEEPA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Champion Smiles Pediatric Dentistry | Hutto, TX | $242K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.