Dental
Cavity Patrol Pediatric Dentistry PLLC
Cavity Patrol Pediatric Dentistry PLLC was paid $1.93M by Medicaid between Nov 2020 and Dec 2024, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 15% of everything it billed.
33Billing provider infoCAVITY PATROL PEDIATRIC DENTISTRY PLLC
CYPRESS, TX 77433
CYPRESS, TX 77433
33aNPI1538795745assigned 03/19/2020
33bProvider typePediatric Dentist
28Total paid$1.93M
24GClaims64,646
24DCodes billed22
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#120 of 693
Median peer was paid$252K
This provider vs. median7.7×
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 | 173 | $4K | |
| 2021 | 6,289 | $186K | |
| 2022 | 15,507 | $442K | |
| 2023 | 19,222 | $553K | |
| 2024incomplete | 23,455 | $746K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 15% | 2,114 | 542 | $292K |
| D0145 | Oral evaluation for a patient under three years of age | 14% | 2,030 | 1,997 | $277K |
| D1351 | Sealant - per tooth | 13% | 9,787 | 2,038 | $258K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 2,192 | 713 | $204K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.0% | 5,005 | 4,928 | $173K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.7% | 3,958 | 3,918 | $109K |
| D0272 | Bitewings - two radiographic images | 5.1% | 4,863 | 4,775 | $98K |
| D1206 | Topical application of fluoride varnish | 4.0% | 5,490 | 5,407 | $77K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 2,120 | 2,058 | $69K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 7,254 | 5,940 | $67K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 6,568 | 6,404 | $66K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.3% | 836 | 282 | $63K |
10 more codes
| D9248 | 2.7% | 454 | $52K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 455 | $33K |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 360 | $24K |
| D1110 | Prophylaxis - adult | <1% | 365 | $19K |
| D0330 | Panoramic radiographic image | <1% | 828 | $17K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 430 | $11K |
| D0274 | Bitewings - four radiographic images | <1% | 346 | $10K |
| D0140 | Limited oral evaluation - problem focused | <1% | 357 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 78 | $4K |
| D0603 | 0% | 8,756 | $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 officialWONG, CHUN YIN (OWNER)