Clinic
Lake Forest Dental, PA
Lake Forest Dental, PA was paid $59K by Medicaid between Jan 2019 and Apr 2021, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 29% of everything it billed.
33Billing provider infoLAKE FOREST DENTAL, PA
MCKINNEY, TX 75071
MCKINNEY, TX 75071
33aNPI1538493408assigned 09/25/2009
33bProvider typeDental Clinic/Center
28Total paid$59K
24GClaims2,532
24DCodes billed13
24AFirst – last monthJan 2019 – Apr 2021
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#151 of 255
Median peer was paid$110K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2019 | 126 | $4K | |
| 2020 | 484 | $8K | |
| 2021 | 1,922 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 29% | 218 | 77 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 276 | 265 | $7K |
| D1351 | Sealant - per tooth | 12% | 265 | 69 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.8% | 173 | 167 | $6K |
| D0274 | Bitewings - four radiographic images | 6.6% | 143 | 132 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 6.4% | 282 | 271 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 300 | 283 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.9% | 284 | 268 | $3K |
| D1110 | Prophylaxis - adult | 4.0% | 47 | 46 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.6% | 99 | 90 | $2K |
| D0272 | Bitewings - two radiographic images | 3.4% | 90 | 88 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 26 | 16 | $2K |
1 more codes
| D0603 | 0% | 329 | $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 officialMORALES, ESMERALDA (OFFICE MANAGER)