Dental
Guzman Pediatric Dentistry
Guzman Pediatric Dentistry was paid $3.61M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 13% of everything it billed.
33Billing provider infoGUZMAN PEDIATRIC DENTISTRY
MISSION, TX 78572
MISSION, TX 78572
33aNPI1609049527assigned 04/11/2008
33bProvider typePediatric Dentist
28Total paid$3.61M
24GClaims129,788
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#53 of 693
Median peer was paid$252K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2018 | 223 | $4K | |
| 2019 | 211 | $3K | |
| 2020 | 4,439 | $114K | |
| 2021 | 32,163 | $905K | |
| 2022 | 38,827 | $1.07M | |
| 2023 | 30,508 | $816K | |
| 2024incomplete | 23,417 | $699K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 3,597 | 990 | $468K |
| D0145 | Oral evaluation for a patient under three years of age | 11% | 2,907 | 2,802 | $392K |
| D1351 | Sealant - per tooth | 9.3% | 13,183 | 3,386 | $335K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.2% | 5,610 | 2,522 | $331K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.9% | 9,319 | 8,975 | $322K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.0% | 10,511 | 10,122 | $287K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.8% | 2,697 | 1,650 | $245K |
| D1208 | Topical application of fluoride, excluding varnish | 4.9% | 12,584 | 12,135 | $175K |
| D1110 | Prophylaxis - adult | 4.3% | 2,976 | 2,880 | $155K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 13,301 | 12,732 | $154K |
| D0272 | Bitewings - two radiographic images | 4.0% | 6,630 | 6,348 | $143K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 13,077 | 11,760 | $137K |
16 more codes
| D9248 | 3.2% | 1,123 | $117K | |
| D0274 | Bitewings - four radiographic images | 3.1% | 3,532 | $113K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.9% | 2,851 | $69K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 1,923 | $63K |
| D0350 | 1.5% | 5,907 | $54K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 282 | $13K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 146 | $10K |
| D0330 | Panoramic radiographic image | <1% | 436 | $8K |
| D0170 | <1% | 462 | $5K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 231 | $4K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 46 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 36 | $3K |
| D0270 | <1% | 225 | $1K | |
| D1354 | <1% | 27 | $304.50 | |
| D3120 | <1% | 109 | $200.69 | |
| D0603 | 0% | 16,060 | $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 officialGUZMAN, SERGIO (PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Mcallen Family Dentistry PLLC | Mcallen, TX | $794K |
| Pharr Family Dentistry | Pharr, TX | $157K |
| Edinburg Dental, PLLC | San Juan, TX | $138K |
| Heroes Weslaco PLLC | Weslaco, TX | $99K |
| Nolana Dental, PLLC | Mcallen, TX | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.