Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Kerrville Pediatric Dentistry, PLLC

Kerrville Pediatric Dentistry, PLLC was paid $3.01M by Medicaid between Oct 2019 and Dec 2024, across 23 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 19% of everything it billed.

33Billing provider infoKERRVILLE PEDIATRIC DENTISTRY, PLLC
KERRVILLE, TX 78028
33aNPI1366848129assigned 11/06/2014
33bProvider typePediatric Dentist
28Total paid$3.01M
24GClaims108,106
24DCodes billed23
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Texas

Rank by total paid#72 of 693
Median peer was paid$252K
This provider vs. median12×

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.

Entity ProliferationAuthorized official AYALA, JOANNA controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201924$161.70
20203,197$94K
202127,500$805K
202226,749$760K
202328,901$814K
2024incomplete21,735$540K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0145 Oral evaluation for a patient under three years of age 19% 4,081 4,040 $567K
D1120 Dental cleaning, childProphylaxis - child 11% 9,489 9,391 $330K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 9.0% 9,694 9,611 $272K
D2930 Prefabricated stainless steel crown - primary tooth 8.9% 1,915 617 $268K
D1351 Sealant - per tooth 6.9% 7,868 1,758 $207K
D1206 Topical application of fluoride varnish 5.9% 12,569 12,443 $177K
D1110 Prophylaxis - adult 5.3% 3,038 3,006 $160K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 5.2% 1,641 1,097 $158K
D0272 Bitewings - two radiographic images 4.6% 6,527 6,467 $138K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4.5% 1,781 1,176 $134K
D0274 Bitewings - four radiographic images 3.9% 3,757 3,716 $117K
D0230 Intraoral - periapical each additional radiographic image 3.9% 12,121 6,008 $117K
11 more codes
D0150 Comprehensive oral evaluation - new or established patient 3.1% 3,015 $94K
D0220 Intraoral - periapical first radiographic image 2.8% 7,389 $84K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.1% 2,448 $64K
D0330 Panoramic radiographic image 1.9% 1,810 $57K
D0210 Intraoral - complete series of radiographic images <1% 438 $27K
D9248 <1% 137 $16K
D0140 Limited oral evaluation - problem focused <1% 576 $10K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 110 $9K
D7140 Extraction, erupted tooth or exposed root <1% 131 $7K
D9420 <1% 14 $472.03
D0603 0% 17,557 $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 officialAYALA, JOANNA (MANAGING MEMBER)
Same official

Other billing entities under AYALA, JOANNA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.