Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Ikids Pediatric Dentistry Tyler, PLLC

Ikids Pediatric Dentistry Tyler, PLLC was paid $149K by Medicaid between Nov 2020 and Nov 2021, across 17 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 24% of everything it billed.

33Billing provider infoIKIDS PEDIATRIC DENTISTRY TYLER, PLLC
TYLER, TX 75701
33aNPI1699281782assigned 12/27/2017
33bProvider typePediatric Dentist
28Total paid$149K
24GClaims6,135
24DCodes billed17
24AFirst – last monthNov 2020 – Nov 2021
Compared with peers

Next to other Pediatric Dentist providers in Texas

Rank by total paid#405 of 693
Median peer was paid$252K
This provider vs. median0.6×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official AGUILAR, ALYSSA controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2020319$4K
20215,816$145K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0145 Oral evaluation for a patient under three years of age 24% 292 291 $36K
D1120 Dental cleaning, childProphylaxis - child 13% 568 550 $19K
D1351 Sealant - per tooth 12% 753 119 $18K
D0150 Comprehensive oral evaluation - new or established patient 7.3% 326 319 $11K
D0210 Intraoral - complete series of radiographic images 7.1% 164 161 $11K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 5.9% 330 323 $9K
D1206 Topical application of fluoride varnish 5.8% 637 618 $9K
D0272 Bitewings - two radiographic images 4.8% 346 324 $7K
D0220 Intraoral - periapical first radiographic image 4.2% 599 547 $6K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.6% 204 192 $5K
D7140 Extraction, erupted tooth or exposed root 3.5% 95 57 $5K
D0230 Intraoral - periapical each additional radiographic image 3.3% 538 440 $5K
5 more codes
D2930 Prefabricated stainless steel crown - primary tooth 2.1% 21 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.9% 39 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.6% 26 $2K
D1999 <1% 159 $20.00
D0603 0% 1,038 $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 officialAGUILAR, ALYSSA (DIRECTOR OF REVENUE & CREDENTIALING)
Same official

Other billing entities under AGUILAR, ALYSSA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.