Dental
Kiwi Pediatric Dental Group PLLC
Kiwi Pediatric Dental Group PLLC was paid $3.62M by Medicaid between Oct 2020 and Dec 2024, across 27 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoKIWI PEDIATRIC DENTAL GROUP PLLC
SPRING, TX 77379
SPRING, TX 77379
33aNPI1417383969assigned 09/16/2013
33bProvider typePediatric Dentist
28Total paid$3.62M
24GClaims107,808
24DCodes billed27
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#52 of 693
Median peer was paid$252K
This provider vs. median14×
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 | 1,994 | $65K | |
| 2021 | 26,507 | $806K | |
| 2022 | 29,349 | $950K | |
| 2023 | 26,622 | $920K | |
| 2024incomplete | 23,336 | $878K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 6,246 | 2,831 | $612K |
| D1351 | Sealant - per tooth | 14% | 18,225 | 4,455 | $499K |
| D0145 | Oral evaluation for a patient under three years of age | 10% | 2,644 | 2,620 | $367K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.5% | 2,156 | 872 | $309K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.2% | 8,353 | 8,247 | $296K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.5% | 9,686 | 9,567 | $272K |
| D9248 | 5.5% | 1,692 | 1,632 | $197K | |
| D0272 | Bitewings - two radiographic images | 4.5% | 7,864 | 7,770 | $164K |
| D1206 | Topical application of fluoride varnish | 4.3% | 10,963 | 10,828 | $157K |
| D1110 | Prophylaxis - adult | 4.0% | 2,727 | 2,700 | $145K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.5% | 1,270 | 752 | $125K |
| D0274 | Bitewings - four radiographic images | 2.7% | 3,258 | 3,215 | $99K |
15 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.1% | 2,815 | $75K |
| D0210 | Intraoral - complete series of radiographic images | 1.7% | 912 | $63K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 1,516 | $52K |
| D0330 | Panoramic radiographic image | 1.3% | 1,994 | $46K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 439 | $35K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 475 | $30K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,648 | $30K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 336 | $19K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,537 | $15K |
| D0140 | Limited oral evaluation - problem focused | <1% | 456 | $8K |
| D2330 | <1% | 24 | $2K | |
| D1330 | <1% | 331 | $698.75 | |
| D1999 | 0% | 5,471 | $0.00 | |
| D0602 | 0% | 3,820 | $0.00 | |
| D0603 | 0% | 9,950 | $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 officialTREVINO, LISA (OWNER/DOCTOR)