Dental
Rio Grande City Pediatric Dentistry PLLC
Rio Grande City Pediatric Dentistry PLLC was paid $2.87M by Medicaid between Oct 2019 and Dec 2024, across 27 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 22% of everything it billed.
33Billing provider infoRIO GRANDE CITY PEDIATRIC DENTISTRY PLLC
RIO GRANDE CITY, TX 78582
RIO GRANDE CITY, TX 78582
33aNPI1679817183assigned 11/21/2012
33bProvider typePediatric Dentist
28Total paid$2.87M
24GClaims86,960
24DCodes billed27
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#78 of 693
Median peer was paid$252K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2019 | 64 | $567.18 | |
| 2020 | 3,461 | $97K | |
| 2021 | 22,672 | $756K | |
| 2022 | 22,612 | $739K | |
| 2023 | 19,910 | $643K | |
| 2024incomplete | 18,241 | $631K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 22% | 4,421 | 908 | $620K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 4,054 | 1,481 | $402K |
| D0145 | Oral evaluation for a patient under three years of age | 9.0% | 1,879 | 1,848 | $258K |
| D1351 | Sealant - per tooth | 7.6% | 8,126 | 2,276 | $219K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.4% | 5,961 | 5,871 | $212K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.1% | 6,198 | 6,083 | $174K |
| D1208 | Topical application of fluoride, excluding varnish | 3.9% | 7,906 | 7,764 | $113K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 10,380 | 7,843 | $108K |
| D0272 | Bitewings - two radiographic images | 3.6% | 4,996 | 4,883 | $104K |
| D1110 | Prophylaxis - adult | 3.6% | 1,947 | 1,900 | $103K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 8,410 | 8,155 | $95K |
| D9248 | 3.2% | 875 | 825 | $93K |
15 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 1,006 | $78K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 1,895 | $61K |
| D0274 | Bitewings - four radiographic images | 2.1% | 1,964 | $60K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.3% | 1,526 | $39K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 333 | $28K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 385 | $23K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 223 | $22K |
| D0330 | Panoramic radiographic image | <1% | 1,610 | $21K |
| D0350 | <1% | 1,533 | $18K | |
| D1330 | <1% | 969 | $10K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 361 | $6K |
| D3120 | <1% | 41 | $143.35 | |
| D0603 | 0% | 9,431 | $0.00 | |
| D0601 | 0% | 100 | $0.00 | |
| D0602 | 0% | 430 | $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 officialLOSHKAREV, VLADISLAV (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Cornerstone Cosmetic & Family Dentistry | Edinburg, TX | $1.95M |
| Red Square Dental | Edinburg, TX | $1.06M |
| Red Square Dental & Orthodontics at Closner PLLC | Edinburg, TX | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.