Dental
Austin Central Park Pediatric Dentistry
Austin Central Park Pediatric Dentistry was paid $178K by Medicaid between Nov 2020 and Dec 2024, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.
33Billing provider infoAUSTIN CENTRAL PARK PEDIATRIC DENTISTRY
AUSTIN, TX 78705
AUSTIN, TX 78705
33aNPI1639597222assigned 04/01/2014
33bProvider typePediatric Dentist
28Total paid$178K
24GClaims9,868
24DCodes billed15
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#393 of 693
Median peer was paid$252K
This provider vs. median0.7×
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 | 131 | $3K | |
| 2021 | 1,823 | $31K | |
| 2022 | 3,207 | $58K | |
| 2023 | 2,788 | $51K | |
| 2024incomplete | 1,919 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 1,736 | 1,702 | $59K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 2,035 | 1,998 | $56K |
| D1206 | Topical application of fluoride varnish | 13% | 1,632 | 1,597 | $22K |
| D0272 | Bitewings - two radiographic images | 9.4% | 846 | 826 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 4.5% | 765 | 743 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 704 | 638 | $7K |
| D1110 | Prophylaxis - adult | 2.9% | 102 | 99 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 176 | 175 | $3K |
| D0330 | Panoramic radiographic image | <1% | 40 | 36 | $698.40 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 26 | 25 | $644.40 |
| D0274 | Bitewings - four radiographic images | <1% | 13 | 13 | $335.79 |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | 12 | $225.36 |
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 officialJOHNSON, DANIEL (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Total Balance Physical Therapy and Fitness, LLC | Fargo, ND | $313K |
| Belle Plaine Area Ambulance Service INC | Belle Plaine, IA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.