Dental
Lakeside Childrens Dentistry
Lakeside Childrens Dentistry was paid $1.79M by Medicaid between Nov 2020 and Dec 2024, across 23 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 20% of everything it billed.
33Billing provider infoLAKESIDE CHILDRENS DENTISTRY
MARBLE FALLS, TX 78654
MARBLE FALLS, TX 78654
33aNPI1528429792assigned 03/15/2016
33bProvider typePediatric Dentist
28Total paid$1.79M
24GClaims71,283
24DCodes billed23
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#128 of 693
Median peer was paid$252K
This provider vs. median7.1×
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 | |
|---|---|---|---|
| 2020 | 932 | $20K | |
| 2021 | 15,223 | $409K | |
| 2022 | 16,550 | $404K | |
| 2023 | 20,541 | $526K | |
| 2024incomplete | 18,037 | $429K |
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 | 20% | 2,527 | 2,517 | $352K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 7,239 | 7,166 | $258K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 7,845 | 7,768 | $220K |
| D1351 | Sealant - per tooth | 7.0% | 4,765 | 1,115 | $126K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.8% | 11,321 | 5,255 | $122K |
| D1206 | Topical application of fluoride varnish | 6.6% | 8,215 | 8,144 | $118K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.6% | 1,287 | 691 | $118K |
| D0272 | Bitewings - two radiographic images | 4.4% | 3,529 | 3,480 | $79K |
| D0220 | Intraoral - periapical first radiographic image | 4.1% | 6,182 | 6,022 | $73K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 877 | 522 | $65K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.6% | 452 | 142 | $64K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.4% | 2,424 | 2,361 | $61K |
11 more codes
| D1110 | Prophylaxis - adult | 3.3% | 1,102 | $59K |
| D0330 | Panoramic radiographic image | 1.7% | 507 | $30K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 557 | $19K |
| D0274 | Bitewings - four radiographic images | <1% | 400 | $13K |
| D0350 | <1% | 301 | $5K | |
| D2332 | <1% | 27 | $4K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 40 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 59 | $808.50 |
| D0140 | Limited oral evaluation - problem focused | <1% | 41 | $741.42 |
| D0603 | 0% | 11,364 | $0.00 | |
| D0602 | 0% | 222 | $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 officialHEATON, ANDREW (MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Heaton Pediatrics, PLLC | Harker Heights, TX | $1.50M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.