Dental
Little Manhattan Pediatric Dentistry,pllc
Little Manhattan Pediatric Dentistry,pllc was paid $2.76M by Medicaid between Jun 2019 and Dec 2024, across 25 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 14% of everything it billed.
33Billing provider infoLITTLE MANHATTAN PEDIATRIC DENTISTRY,PLLC
SAN JUAN, TX 78589
SAN JUAN, TX 78589
33aNPI1508122094assigned 04/09/2012
33bProvider typePediatric Dentist
28Total paid$2.76M
24GClaims103,386
24DCodes billed25
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#82 of 693
Median peer was paid$252K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2019 | 76 | $368.96 | |
| 2020 | 3,067 | $71K | |
| 2021 | 26,028 | $696K | |
| 2022 | 29,279 | $797K | |
| 2023 | 25,675 | $687K | |
| 2024incomplete | 19,261 | $507K |
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 | 14% | 2,759 | 2,708 | $378K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 10% | 2,087 | 634 | $281K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.9% | 7,767 | 7,586 | $272K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.5% | 4,286 | 1,940 | $263K |
| D1351 | Sealant - per tooth | 9.0% | 9,486 | 2,625 | $248K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.4% | 8,431 | 8,228 | $232K |
| D1208 | Topical application of fluoride, excluding varnish | 5.2% | 10,247 | 10,006 | $144K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.1% | 1,483 | 910 | $140K |
| D0220 | Intraoral - periapical first radiographic image | 4.5% | 10,904 | 10,598 | $123K |
| D0272 | Bitewings - two radiographic images | 4.2% | 5,472 | 5,325 | $115K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.1% | 11,547 | 9,875 | $114K |
| D1110 | Prophylaxis - adult | 3.8% | 2,005 | 1,960 | $105K |
13 more codes
| D9248 | 3.1% | 820 | $84K | |
| D0274 | Bitewings - four radiographic images | 2.9% | 2,753 | $81K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.0% | 2,112 | $55K |
| D0350 | 1.9% | 4,880 | $53K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 1,489 | $49K |
| D0330 | Panoramic radiographic image | <1% | 743 | $10K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 125 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 27 | $2K |
| D0170 | <1% | 194 | $2K | |
| D0270 | <1% | 258 | $1K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 14 | $262.92 |
| D1330 | <1% | 13 | $61.25 | |
| D0603 | 0% | 13,484 | $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 officialGUZMAN, DR. SERGIO (PEDIATRIC DENTIST)