Dental
Pediatric Dentistry of Haslet, P.C.
Pediatric Dentistry of Haslet, P.C. was paid $182K by Medicaid between Nov 2020 and Oct 2021, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF HASLET, P.C.
HASLET, TX 76052
HASLET, TX 76052
33aNPI1356784110assigned 04/11/2013
33bProvider typePediatric Dentist
28Total paid$182K
24GClaims8,504
24DCodes billed19
24AFirst – last monthNov 2020 – Oct 2021
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#389 of 693
Median peer was paid$252K
This provider vs. median0.7×
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 | 603 | $14K | |
| 2021 | 7,901 | $168K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 916 | 804 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 994 | 863 | $24K |
| D0145 | Oral evaluation for a patient under three years of age | 12% | 165 | 162 | $22K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 255 | 138 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.6% | 217 | 136 | $14K |
| D1206 | Topical application of fluoride varnish | 7.5% | 1,083 | 947 | $14K |
| D0272 | Bitewings - two radiographic images | 6.2% | 566 | 488 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 6.1% | 1,062 | 917 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.7% | 1,081 | 866 | $10K |
| D0274 | Bitewings - four radiographic images | 4.2% | 262 | 226 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.2% | 326 | 286 | $8K |
| D1110 | Prophylaxis - adult | 3.8% | 156 | 135 | $7K |
7 more codes
| D0330 | Panoramic radiographic image | 1.3% | 43 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 51 | $2K |
| D1351 | Sealant - per tooth | <1% | 62 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 20 | $960.90 |
| D0140 | Limited oral evaluation - problem focused | <1% | 43 | $732.42 |
| D0603 | 0% | 1,120 | $0.00 | |
| D0601 | 0% | 82 | $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 officialASHCROFT, JASON (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dentistry of Northlake PLLC | Northlake, TX | $34K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.