Dental
Kristofer Sivanich DDS PLLC
Kristofer Sivanich DDS PLLC was paid $194K by Medicaid between Dec 2020 and Dec 2024, across 14 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 26% of everything it billed.
33Billing provider infoKRISTOFER SIVANICH DDS PLLC
HEATH, TX 75032
HEATH, TX 75032
33aNPI1396229803assigned 09/20/2018
33bProvider typePediatric Dentist
28Total paid$194K
24GClaims9,882
24DCodes billed14
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#378 of 693
Median peer was paid$252K
This provider vs. median0.8×
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 | 18 | $0.00 | |
| 2021 | 778 | $9K | |
| 2022 | 2,336 | $40K | |
| 2023 | 3,195 | $67K | |
| 2024incomplete | 3,555 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 26% | 395 | 379 | $51K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 912 | 887 | $31K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 804 | 780 | $22K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.2% | 1,830 | 819 | $18K |
| D1206 | Topical application of fluoride varnish | 8.4% | 1,197 | 1,158 | $16K |
| D1351 | Sealant - per tooth | 8.4% | 720 | 84 | $16K |
| D0272 | Bitewings - two radiographic images | 6.7% | 661 | 647 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 936 | 896 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 184 | 177 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.8% | 56 | 25 | $5K |
| D0330 | Panoramic radiographic image | 1.0% | 60 | 58 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 39 | 37 | $1K |
2 more codes
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 officialSIVANICH, KRISTOFER (OWNER)