Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Dripping Springs Pediatric Dental, PLLC

Dripping Springs Pediatric Dental, PLLC was paid $28K by Medicaid between Nov 2020 and Jun 2021, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.

33Billing provider infoDRIPPING SPRINGS PEDIATRIC DENTAL, PLLC
DRIPPING SPRINGS, TX 78620
33aNPI1639610421assigned 03/14/2017
33bProvider typePediatric Dentist
28Total paid$28K
24GClaims1,746
24DCodes billed11
24AFirst – last monthNov 2020 – Jun 2021
Compared with peers

Next to other Pediatric Dentist providers in Texas

Rank by total paid#516 of 693
Median peer was paid$252K
This provider vs. median0.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MONTGOMERY, MARTY controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2020445$7K
20211,301$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 22% 174 173 $6K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 18% 184 182 $5K
D1351 Sealant - per tooth 12% 133 27 $3K
D1208 Topical application of fluoride, excluding varnish 12% 238 236 $3K
D0272 Bitewings - two radiographic images 11% 148 148 $3K
D0220 Intraoral - periapical first radiographic image 9.9% 244 242 $3K
D0230 Intraoral - periapical each additional radiographic image 9.3% 257 239 $3K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.9% 25 24 $513.01
D0150 Comprehensive oral evaluation - new or established patient 1.5% 12 12 $409.72
D0330 Panoramic radiographic image 1.3% 24 24 $349.31
D0603 0% 307 305 $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 officialMONTGOMERY, MARTY (OWNER)
Same official

Other billing entities under MONTGOMERY, MARTY

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.