Lone Star Pediatric Dental, PLLC
Lone Star Pediatric Dental, PLLC was paid $746K by Medicaid between Jul 2018 and Jun 2021, across 21 billing codes. Its largest line is D0120, dental checkup, returning patient — 13% of everything it billed.
AUSTIN, TX 78704
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 | |
|---|---|---|---|
| 2018 | 350 | $4K | |
| 2019 | 394 | $5K | |
| 2020 | 6,403 | $149K | |
| 2021 | 25,104 | $588K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 3,424 | 3,411 | $97K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 2,511 | 2,500 | $90K |
| D1351 | Sealant - per tooth | 12% | 3,275 | 878 | $90K |
| D0145 | Oral evaluation for a patient under three years of age | 10% | 557 | 552 | $78K |
| D1208 | Topical application of fluoride, excluding varnish | 7.2% | 3,717 | 3,702 | $54K |
| D1110 | Prophylaxis - adult | 7.0% | 977 | 973 | $53K |
| D0272 | Bitewings - two radiographic images | 6.3% | 2,167 | 2,158 | $47K |
| D0220 | Intraoral - periapical first radiographic image | 6.0% | 3,964 | 3,916 | $45K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.3% | 3,890 | 3,650 | $40K |
| D0274 | Bitewings - four radiographic images | 4.0% | 965 | 962 | $30K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.9% | 316 | 155 | $29K |
| D9248 | 2.7% | 176 | 168 | $20K |
9 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 260 | $20K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.8% | 94 | $14K |
| D0210 | Intraoral - complete series of radiographic images | 1.5% | 167 | $11K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 344 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 186 | $6K |
| D0330 | Panoramic radiographic image | <1% | 417 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 111 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 170 | $3K |
| D0603 | 0% | 4,563 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| North Austin Pediatric Dental, PLLC | Austin, TX | $874K |
| 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 |
| Lakeway Pediatric Dental, PLLC | Austin, TX | $134K |
| 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.