Dental
Riverside Practice, LLC
Riverside Practice, LLC was paid $1.46M by Medicaid between Nov 2020 and Dec 2024, across 24 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 21% of everything it billed.
33Billing provider infoRIVERSIDE PRACTICE, LLC
AUSTIN, TX 78741
AUSTIN, TX 78741
33aNPI1679062020assigned 05/01/2018
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$1.46M
24GClaims51,670
24DCodes billed24
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Texas
Rank by total paid#19 of 102
Median peer was paid$338K
This provider vs. median4.3×
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 | $20K | |
| 2021 | 10,653 | $314K | |
| 2022 | 12,916 | $374K | |
| 2023 | 13,988 | $396K | |
| 2024incomplete | 13,294 | $353K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 21% | 2,243 | 2,222 | $309K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 17% | 1,697 | 444 | $242K |
| D1351 | Sealant - per tooth | 11% | 6,258 | 1,299 | $162K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.6% | 3,566 | 3,521 | $125K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.8% | 10,734 | 3,758 | $114K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.8% | 3,567 | 3,516 | $99K |
| D1208 | Topical application of fluoride, excluding varnish | 4.4% | 4,524 | 4,469 | $64K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 4,283 | 4,186 | $50K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.8% | 528 | 298 | $40K |
| D1110 | Prophylaxis - adult | 2.7% | 760 | 750 | $40K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 1,125 | 1,111 | $38K |
| D0272 | Bitewings - two radiographic images | 2.1% | 1,741 | 1,712 | $31K |
12 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.1% | 320 | $30K |
| D9248 | 2.0% | 271 | $30K | |
| D0274 | Bitewings - four radiographic images | 1.7% | 944 | $25K |
| D0330 | Panoramic radiographic image | 1.6% | 769 | $23K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.3% | 713 | $18K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 147 | $9K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 119 | $8K |
| D0140 | Limited oral evaluation - problem focused | <1% | 24 | $450.72 |
| D1354 | <1% | 39 | $420.50 | |
| D1330 | <1% | 128 | $98.00 | |
| D1310 | 0% | 31 | $0.00 | |
| D0603 | 0% | 7,139 | $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 officialPATEL, ASHA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Phelan Dental Health Center PLLC | Beaumont, TX | $3.86M |
| William Cannon Family Dental PC | Austin, TX | $2.22M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.