Dental
Pediatric Dental Services
Pediatric Dental Services was paid $962K by Medicaid between Nov 2020 and Dec 2024, across 20 billing codes. Its largest line is D1351, Sealant - per tooth — 17% of everything it billed.
33Billing provider infoPEDIATRIC DENTAL SERVICES
PLANO, TX 75025
PLANO, TX 75025
33aNPI1669759726assigned 11/03/2011
33bProvider typePediatric Dentist
28Total paid$962K
24GClaims44,316
24DCodes billed20
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#190 of 693
Median peer was paid$252K
This provider vs. median3.8×
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 | |
|---|---|---|---|
| 2020 | 819 | $13K | |
| 2021 | 7,851 | $151K | |
| 2022 | 13,304 | $352K | |
| 2023 | 12,433 | $253K | |
| 2024incomplete | 9,909 | $193K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 17% | 6,227 | 964 | $165K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 3,746 | 3,642 | $131K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 3,895 | 3,786 | $107K |
| D0145 | Oral evaluation for a patient under three years of age | 11% | 764 | 751 | $106K |
| D0230 | Intraoral - periapical each additional radiographic image | 10% | 9,310 | 3,820 | $98K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.7% | 681 | 276 | $65K |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 4,255 | 4,100 | $50K |
| D1206 | Topical application of fluoride varnish | 4.2% | 2,922 | 2,853 | $41K |
| D0272 | Bitewings - two radiographic images | 3.8% | 1,649 | 1,609 | $37K |
| D1110 | Prophylaxis - adult | 3.8% | 717 | 692 | $36K |
| D0210 | Intraoral - complete series of radiographic images | 3.7% | 556 | 536 | $36K |
| D1208 | Topical application of fluoride, excluding varnish | 2.6% | 1,802 | 1,740 | $25K |
8 more codes
| D0274 | Bitewings - four radiographic images | 2.3% | 699 | $22K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.6% | 107 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 452 | $14K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.4% | 532 | $13K |
| D0140 | Limited oral evaluation - problem focused | <1% | 75 | $1K |
| D0603 | 0% | 5,780 | $0.00 | |
| D0602 | 0% | 116 | $0.00 | |
| D0601 | 0% | 31 | $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 officialJADID, KHALED (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Renner Children's Dentistry and Orthodontics | Richardson, TX | $1.06M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.