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

Central Austin Pediatric Dental, PLLC

Central Austin Pediatric Dental, PLLC was paid $122K by Medicaid between Nov 2020 and Jun 2021, across 15 billing codes. Its largest line is D1351, Sealant - per tooth — 15% of everything it billed.

33Billing provider infoCENTRAL AUSTIN PEDIATRIC DENTAL, PLLC
AUSTIN, TX 78705
33aNPI1437437639assigned 07/22/2011
33bProvider typePediatric Dentist
28Total paid$122K
24GClaims5,242
24DCodes billed15
24AFirst – last monthNov 2020 – Jun 2021
Compared with peers

Next to other Pediatric Dentist providers in Texas

Rank by total paid#423 of 693
Median peer was paid$252K
This provider vs. median0.5×

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 MONTGOMERY, MARTY controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
20201,270$27K
20213,972$94K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1351 Sealant - per tooth 15% 701 179 $18K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 12% 517 513 $14K
D0145 Oral evaluation for a patient under three years of age 10.0% 90 90 $12K
D1120 Dental cleaning, childProphylaxis - child 9.9% 350 347 $12K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 9.1% 125 65 $11K
D2391 Resin-based composite - one surface, posterior, primary or permanent 7.3% 127 79 $9K
D1110 Prophylaxis - adult 7.1% 167 165 $9K
D1208 Topical application of fluoride, excluding varnish 6.2% 543 537 $8K
D0230 Intraoral - periapical each additional radiographic image 6.0% 752 544 $7K
D0220 Intraoral - periapical first radiographic image 5.3% 577 565 $7K
D0272 Bitewings - two radiographic images 5.1% 289 287 $6K
D0274 Bitewings - four radiographic images 4.4% 172 170 $5K
3 more codes
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.6% 116 $3K
D0330 Panoramic radiographic image <1% 15 $314.24
D0603 0% 701 $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 officialMONTGOMERY, MARTY (OWNER)
Same official

Other billing entities under MONTGOMERY, MARTY

Full network →
ProviderLocationPaid
North Austin Pediatric Dental, PLLCAustin, TX$874K
Lone Star Pediatric Dental, PLLCAustin, TX$746K
Elgin Pediatric Dental PLLCElgin, TX$397K
Kyle Pediatric DentalKyle, TX$352K
LSPD at Killeen, PLLCKilleen, TX$259K
T & S Omfs PLLCAustin, TX$188K
Lakeway Pediatric Dental, PLLCAustin, TX$134K
LSPD at Cove PLLCCopperas Cove, TX$106K
LSPD at Circle C, PLLCAustin, TX$69K
Dripping Springs Pediatric Dental, PLLCDripping Springs, TX$28K
Children's Dental Ranch of New Braunfels, PLLCNew Braunfels, TX$22K

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