Dental
New Braunfels Pediatric Dental Assoc PC INC
New Braunfels Pediatric Dental Assoc PC INC was paid $2.24M by Medicaid between Oct 2020 and Dec 2024, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 14% of everything it billed.
33Billing provider infoNEW BRAUNFELS PEDIATRIC DENTAL ASSOC PC INC
NEW BRAUNFELS, TX 78123
NEW BRAUNFELS, TX 78123
33aNPI1669559274assigned 11/01/2006
33bProvider typePediatric Dentist
28Total paid$2.24M
24GClaims67,071
24DCodes billed22
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#105 of 693
Median peer was paid$252K
This provider vs. median8.9×
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 | 1,586 | $47K | |
| 2021 | 16,959 | $597K | |
| 2022 | 17,925 | $596K | |
| 2023 | 16,894 | $582K | |
| 2024incomplete | 13,707 | $419K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 2,321 | 752 | $322K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 3,174 | 1,898 | $299K |
| D0145 | Oral evaluation for a patient under three years of age | 9.4% | 1,581 | 1,540 | $212K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.9% | 6,540 | 6,325 | $177K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.4% | 4,868 | 4,707 | $166K |
| D9248 | 6.8% | 1,725 | 1,625 | $153K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.2% | 1,586 | 1,069 | $117K |
| D0272 | Bitewings - two radiographic images | 5.2% | 5,351 | 5,169 | $117K |
| D7140 | Extraction, erupted tooth or exposed root | 4.9% | 2,562 | 1,059 | $109K |
| D1351 | Sealant - per tooth | 4.9% | 4,259 | 1,157 | $109K |
| D1110 | Prophylaxis - adult | 4.7% | 2,037 | 1,982 | $106K |
| D1208 | Topical application of fluoride, excluding varnish | 4.3% | 6,979 | 6,755 | $97K |
10 more codes
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 5,851 | $68K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 5,665 | $60K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.4% | 2,091 | $53K |
| D0330 | Panoramic radiographic image | 2.2% | 988 | $49K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 446 | $14K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 108 | $10K |
| D9420 | <1% | 56 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 76 | $1K |
| D0603 | 0% | 3,585 | $0.00 | |
| D0602 | 0% | 5,222 | $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 officialOFFUTT, ROBERT (VP OWNER)