Dental
Pediatric Dentistry of Northlake PLLC
Pediatric Dentistry of Northlake PLLC was paid $34K by Medicaid between Dec 2020 and Oct 2021, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF NORTHLAKE PLLC
NORTHLAKE, TX 76247
NORTHLAKE, TX 76247
33aNPI1386109650assigned 01/31/2019
33bProvider typePediatric Dentist
28Total paid$34K
24GClaims2,215
24DCodes billed11
24AFirst – last monthDec 2020 – Oct 2021
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#506 of 693
Median peer was paid$252K
This provider vs. median0.1×
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 | 150 | $2K | |
| 2021 | 2,065 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 294 | 260 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 289 | 242 | $7K |
| D1206 | Topical application of fluoride varnish | 13% | 352 | 304 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 10% | 368 | 268 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 10% | 332 | 291 | $4K |
| D0272 | Bitewings - two radiographic images | 8.8% | 146 | 129 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | 4.5% | 13 | 13 | $2K |
| D0274 | Bitewings - four radiographic images | 2.4% | 39 | 25 | $827.18 |
| D0330 | Panoramic radiographic image | 2.2% | 16 | 12 | $752.60 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 24 | 19 | $565.12 |
| D0603 | 0% | 342 | 318 | $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 Haslet, P.C. | Haslet, TX | $182K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.