Lakeway Pediatric Dental, PLLC
Lakeway Pediatric Dental, PLLC was paid $134K by Medicaid between Nov 2020 and Jun 2021, across 16 billing codes. Its largest line is D1351, Sealant - per tooth — 15% of everything it billed.
AUSTIN, TX 78738
Next to other Pediatric Dentist providers in Texas
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 1,129 | $24K | |
| 2021 | 4,680 | $110K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 15% | 757 | 196 | $21K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 531 | 524 | $15K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 408 | 400 | $14K |
| D0145 | Oral evaluation for a patient under three years of age | 9.4% | 99 | 95 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.2% | 148 | 86 | $11K |
| D1110 | Prophylaxis - adult | 7.2% | 188 | 185 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 6.2% | 598 | 587 | $8K |
| D0272 | Bitewings - two radiographic images | 5.9% | 375 | 368 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.9% | 90 | 48 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.8% | 794 | 605 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 5.3% | 623 | 609 | $7K |
| D0274 | Bitewings - four radiographic images | 4.4% | 188 | 185 | $6K |
4 more codes
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| North Austin Pediatric Dental, PLLC | Austin, TX | $874K |
| Lone Star Pediatric Dental, PLLC | Austin, TX | $746K |
| Elgin Pediatric Dental PLLC | Elgin, TX | $397K |
| Kyle Pediatric Dental | Kyle, TX | $352K |
| LSPD at Killeen, PLLC | Killeen, TX | $259K |
| T & S Omfs PLLC | Austin, TX | $188K |
| Central Austin Pediatric Dental, PLLC | Austin, TX | $122K |
| LSPD at Cove PLLC | Copperas Cove, TX | $106K |
| LSPD at Circle C, PLLC | Austin, TX | $69K |
| Dripping Springs Pediatric Dental, PLLC | Dripping Springs, TX | $28K |
| Children's Dental Ranch of New Braunfels, PLLC | New Braunfels, TX | $22K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.