Dental
Self, Kristen
Self, Kristen was paid $14K by Medicaid between Jun 2023 and Apr 2024, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 34% of everything it billed.
33Billing provider infoSELF, KRISTEN
NEW BRAUNFELS, TX 78130
NEW BRAUNFELS, TX 78130
33aNPI1497316418assigned 06/21/2019
33bProvider typePediatric Dentist
28Total paid$14K
24GClaims906
24DCodes billed8
24AFirst – last monthJun 2023 – Apr 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#565 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 | |
|---|---|---|---|
| 2023 | 690 | $11K | |
| 2024incomplete | 216 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 34% | 157 | 148 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 145 | 138 | $4K |
| D0272 | Bitewings - two radiographic images | 12% | 84 | 77 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 113 | 111 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 9.3% | 125 | 115 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.2% | 103 | 81 | $1K |
| D0603 | 0% | 166 | 163 | $0.00 | |
| D0602 | 0% | 13 | 13 | $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.