Dental
Children's Dentistry of Kyle
Children's Dentistry of Kyle was paid $696K by Medicaid between Jul 2019 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoCHILDREN'S DENTISTRY OF KYLE
KYLE, TX 78640
KYLE, TX 78640
33aNPI1588895692assigned 08/06/2009
33bProvider typePediatric Dentist
28Total paid$696K
24GClaims27,931
24DCodes billed21
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#234 of 693
Median peer was paid$252K
This provider vs. median2.8×
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 | 43 | $758.35 | |
| 2020 | 459 | $11K | |
| 2021 | 6,555 | $150K | |
| 2022 | 7,701 | $194K | |
| 2023 | 8,104 | $207K | |
| 2024incomplete | 5,069 | $133K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 3,788 | 3,752 | $128K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 4,424 | 4,375 | $119K |
| D0145 | Oral evaluation for a patient under three years of age | 17% | 861 | 856 | $116K |
| D1351 | Sealant - per tooth | 10% | 2,991 | 315 | $71K |
| D1110 | Prophylaxis - adult | 7.2% | 1,002 | 986 | $50K |
| D1208 | Topical application of fluoride, excluding varnish | 5.9% | 2,980 | 2,942 | $41K |
| D0330 | Panoramic radiographic image | 5.8% | 724 | 714 | $41K |
| D0272 | Bitewings - two radiographic images | 5.5% | 1,724 | 1,704 | $38K |
| D1206 | Topical application of fluoride varnish | 3.0% | 1,549 | 1,538 | $21K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.9% | 169 | 41 | $20K |
| D0274 | Bitewings - four radiographic images | 2.1% | 461 | 450 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 772 | 751 | $8K |
9 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 254 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.1% | 88 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 149 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 338 | $3K |
| D9248 | <1% | 28 | $3K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 38 | $3K |
| D0603 | 0% | 5,328 | $0.00 | |
| D0602 | 0% | 67 | $0.00 | |
| D0601 | 0% | 196 | $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 officialWITTICH, JEREMY (OWNER/DENTIST)