Dental
Abc123 Pediatric Dentistry, PA
Abc123 Pediatric Dentistry, PA was paid $117K by Medicaid between Nov 2020 and Dec 2024, across 16 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 23% of everything it billed.
33Billing provider infoABC123 PEDIATRIC DENTISTRY, PA
PEARLAND, TX 77584
PEARLAND, TX 77584
33aNPI1699914705assigned 02/12/2009
33bProvider typePediatric Dentist
28Total paid$117K
24GClaims6,149
24DCodes billed16
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#427 of 693
Median peer was paid$252K
This provider vs. median0.5×
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 | 50 | $0.00 | |
| 2021 | 829 | $15K | |
| 2022 | 2,645 | $56K | |
| 2023 | 1,357 | $27K | |
| 2024incomplete | 1,268 | $19K |
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 | 23% | 196 | 191 | $27K |
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 668 | 639 | $23K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 612 | 586 | $17K |
| D0272 | Bitewings - two radiographic images | 11% | 572 | 543 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 8.7% | 869 | 820 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.4% | 939 | 771 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 7.5% | 645 | 611 | $9K |
| D1351 | Sealant - per tooth | 4.0% | 197 | 45 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 76 | 66 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 29 | 12 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 24 | 14 | $515.09 |
| D9986 | 0% | 17 | 16 | $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 officialDIAZ, IVETTE (PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Ivette Diaz, MD LLC | Brookfield, CT | $700K |
| Millennium Diagnostic Imaging Center, INC | Miami, FL | $402.20 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.