Dental
Pediatric Dental Professionals, PLLC
Pediatric Dental Professionals, PLLC was paid $44K by Medicaid between Oct 2020 and Oct 2024, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 30% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL PROFESSIONALS, PLLC
AUSTIN, TX 78759
AUSTIN, TX 78759
33aNPI1356956882assigned 09/11/2020
33bProvider typePediatric Dentist
28Total paid$44K
24GClaims3,131
24DCodes billed14
24AFirst – last monthOct 2020 – Oct 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#485 of 693
Median peer was paid$252K
This provider vs. median0.2×
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 | 223 | $0.00 | |
| 2021 | 524 | $0.00 | |
| 2022 | 676 | $13K | |
| 2023 | 846 | $15K | |
| 2024incomplete | 862 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 782 | 696 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 327 | 300 | $8K |
| D1351 | Sealant - per tooth | 16% | 348 | 85 | $7K |
| D1206 | Topical application of fluoride varnish | 9.8% | 321 | 320 | $4K |
| D1110 | Prophylaxis - adult | 9.6% | 121 | 117 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 4.6% | 415 | 330 | $2K |
| D0274 | Bitewings - four radiographic images | 4.6% | 71 | 71 | $2K |
| D0272 | Bitewings - two radiographic images | 2.3% | 45 | 45 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 19 | 12 | $900.88 |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 60 | 58 | $678.24 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 13 | 12 | $352.43 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 20 | 19 | $230.20 |
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 officialLIGHTFOOT, AMANDA (AUTHORIZED REPRESENTATIVE)
| Provider | Location | Paid |
|---|---|---|
| Lufkin Dentistry PLLC | Lufkin, TX | $4.38M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.