Dental
TLC Pediatric Dentistry PLLC
TLC Pediatric Dentistry PLLC was paid $1.28M by Medicaid between Nov 2020 and Dec 2024, across 23 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 18% of everything it billed.
33Billing provider infoTLC PEDIATRIC DENTISTRY PLLC
CEDAR PARK, TX 78613
CEDAR PARK, TX 78613
33aNPI1679981203assigned 07/28/2014
33bProvider typePediatric Dentist
28Total paid$1.28M
24GClaims49,833
24DCodes billed23
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#158 of 693
Median peer was paid$252K
This provider vs. median5.1×
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.
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 | 1,362 | $39K | |
| 2021 | 12,498 | $332K | |
| 2022 | 15,365 | $400K | |
| 2023 | 10,794 | $272K | |
| 2024incomplete | 9,814 | $238K |
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 | 18% | 1,663 | 1,657 | $231K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 5,797 | 5,744 | $200K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 5,981 | 5,936 | $163K |
| D1351 | Sealant - per tooth | 9.3% | 4,399 | 895 | $119K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.0% | 1,109 | 521 | $102K |
| D1206 | Topical application of fluoride varnish | 7.1% | 6,476 | 6,418 | $90K |
| D0272 | Bitewings - two radiographic images | 6.2% | 3,572 | 3,546 | $80K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.4% | 496 | 215 | $70K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.2% | 5,842 | 2,134 | $67K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 2,826 | 2,764 | $33K |
| D1110 | Prophylaxis - adult | 2.5% | 623 | 620 | $32K |
| D0274 | Bitewings - four radiographic images | 2.4% | 959 | 952 | $31K |
11 more codes
| D9248 | 1.6% | 171 | $20K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 604 | $20K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 563 | $14K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 46 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 133 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 24 | $2K |
| D0330 | Panoramic radiographic image | <1% | 14 | $892.92 |
| D0140 | Limited oral evaluation - problem focused | <1% | 31 | $563.40 |
| D0601 | 0% | 3,691 | $0.00 | |
| D0603 | 0% | 2,377 | $0.00 | |
| D0602 | 0% | 2,436 | $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 officialLEE, LAUREN-NIKKO (SECRETARY)