Dental
Champion Smiles Pediatric Dentistry
Champion Smiles Pediatric Dentistry was paid $242K by Medicaid between Nov 2021 and Dec 2024, across 18 billing codes. Its largest line is D1351, Sealant - per tooth — 21% of everything it billed.
33Billing provider infoCHAMPION SMILES PEDIATRIC DENTISTRY
HUTTO, TX 78634
HUTTO, TX 78634
33aNPI1518535350assigned 06/17/2021
33bProvider typePediatric Dentist
28Total paid$242K
24GClaims10,518
24DCodes billed18
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#352 of 693
Median peer was paid$252K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2021 | 173 | $3K | |
| 2022 | 3,691 | $87K | |
| 2023 | 5,615 | $135K | |
| 2024incomplete | 1,039 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 21% | 1,941 | 412 | $50K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 1,069 | 1,050 | $38K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 1,257 | 1,237 | $35K |
| D0145 | Oral evaluation for a patient under three years of age | 14% | 236 | 235 | $33K |
| D1208 | Topical application of fluoride, excluding varnish | 8.3% | 1,410 | 1,388 | $20K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.3% | 123 | 29 | $15K |
| D0272 | Bitewings - two radiographic images | 5.4% | 581 | 569 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.5% | 1,051 | 377 | $11K |
| D1110 | Prophylaxis - adult | 2.9% | 134 | 131 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 593 | 554 | $7K |
| D0274 | Bitewings - four radiographic images | 2.2% | 161 | 158 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.5% | 38 | 20 | $4K |
6 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 officialNAIK, DEEPA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Cedar Smiles Pediatric Dentistry | Cedar Park, TX | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.