Dental
Pediatric Dentristry of Mansfield,pllc
Pediatric Dentristry of Mansfield,pllc was paid $371K by Medicaid between Dec 2020 and Dec 2024, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoPEDIATRIC DENTRISTRY OF MANSFIELD,PLLC
MANSFIELD, TX 76063
MANSFIELD, TX 76063
33aNPI1508133224assigned 11/23/2011
33bProvider typePediatric Dentist
28Total paid$371K
24GClaims22,112
24DCodes billed16
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#301 of 693
Median peer was paid$252K
This provider vs. median1.5×
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.
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 | 48 | $1K | |
| 2021 | 4,775 | $87K | |
| 2022 | 5,331 | $91K | |
| 2023 | 6,815 | $109K | |
| 2024incomplete | 5,143 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 3,440 | 3,275 | $110K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 3,741 | 3,547 | $96K |
| D0272 | Bitewings - two radiographic images | 12% | 2,276 | 2,171 | $46K |
| D1208 | Topical application of fluoride, excluding varnish | 8.6% | 2,390 | 2,322 | $32K |
| D0220 | Intraoral - periapical first radiographic image | 7.7% | 2,632 | 2,474 | $28K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.5% | 2,491 | 2,026 | $24K |
| D1206 | Topical application of fluoride varnish | 4.5% | 1,318 | 1,220 | $17K |
| D0145 | Oral evaluation for a patient under three years of age | 2.0% | 61 | 57 | $8K |
| D1110 | Prophylaxis - adult | 2.0% | 164 | 157 | $7K |
| D0274 | Bitewings - four radiographic images | <1% | 58 | 54 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 39 | 37 | $894.63 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 13 | 12 | $423.84 |
4 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 officialSULLIVAN, DEBORAH (OWNER)