Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Key City Kids Dental PLLC

Key City Kids Dental PLLC was paid $102K by Medicaid between Jul 2023 and Dec 2024, across 18 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 21% of everything it billed.

33Billing provider infoKEY CITY KIDS DENTAL PLLC
ABILENE, TX 79606
33aNPI1528768702assigned 03/07/2023
33bProvider typePediatric Dentist
28Total paid$102K
24GClaims4,011
24DCodes billed18
24AFirst – last monthJul 2023 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Texas

Rank by total paid#439 of 693
Median peer was paid$252K
This provider vs. median0.4×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2023645$11K
2024incomplete3,366$91K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 21% 156 29 $22K
D0150 Comprehensive oral evaluation - new or established patient 15% 456 452 $15K
D1120 Dental cleaning, childProphylaxis - child 13% 392 386 $14K
D0272 Bitewings - two radiographic images 8.2% 363 357 $8K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 7.4% 74 31 $8K
D1208 Topical application of fluoride, excluding varnish 7.2% 529 521 $7K
D0230 Intraoral - periapical each additional radiographic image 6.1% 581 447 $6K
D0220 Intraoral - periapical first radiographic image 5.6% 481 471 $6K
D0145 Oral evaluation for a patient under three years of age 4.7% 36 36 $5K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 3.9% 145 141 $4K
D7140 Extraction, erupted tooth or exposed root 2.4% 44 26 $2K
D1351 Sealant - per tooth 1.7% 64 12 $2K
6 more codes
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.1% 47 $1K
D1110 Prophylaxis - adult <1% 18 $905.51
D0274 Bitewings - four radiographic images <1% 26 $872.18
D0603 0% 532 $0.00
D0601 0% 30 $0.00
D0602 0% 37 $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 officialELLIS, LEAH (ADMINISTRATOR)