Dental
Ikids Pediatric Dentistry Fort Worth, P.C.
Ikids Pediatric Dentistry Fort Worth, P.C. was paid $948K by Medicaid between Aug 2018 and Nov 2021, across 25 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 15% of everything it billed.
33Billing provider infoIKIDS PEDIATRIC DENTISTRY FORT WORTH, P.C.
FORT WORTH, TX 76107
FORT WORTH, TX 76107
33aNPI1710250097assigned 02/16/2012
33bProvider typePediatric Dentist
28Total paid$948K
24GClaims34,033
24DCodes billed25
24AFirst – last monthAug 2018 – Nov 2021
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#195 of 693
Median peer was paid$252K
This provider vs. median3.8×
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
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 | |
|---|---|---|---|
| 2018 | 13 | $0.00 | |
| 2019 | 259 | $3K | |
| 2020 | 4,985 | $131K | |
| 2021 | 28,776 | $813K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 15% | 1,037 | 360 | $138K |
| D0145 | Oral evaluation for a patient under three years of age | 11% | 759 | 755 | $105K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 2,913 | 2,868 | $101K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10.0% | 3,448 | 3,413 | $95K |
| D1351 | Sealant - per tooth | 7.5% | 2,764 | 564 | $71K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 6.0% | 721 | 252 | $57K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.0% | 695 | 373 | $47K |
| D1110 | Prophylaxis - adult | 4.6% | 850 | 838 | $43K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.5% | 470 | 283 | $42K |
| D1206 | Topical application of fluoride varnish | 4.1% | 2,846 | 2,796 | $39K |
| D0272 | Bitewings - two radiographic images | 4.0% | 1,741 | 1,701 | $38K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 3,058 | 2,925 | $35K |
13 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 2,647 | $28K |
| D7140 | Extraction, erupted tooth or exposed root | 2.2% | 400 | $21K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.1% | 814 | $20K |
| D9248 | 1.8% | 171 | $17K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 478 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 943 | $13K |
| D0274 | Bitewings - four radiographic images | 1.3% | 387 | $12K |
| D0140 | Limited oral evaluation - problem focused | <1% | 303 | $5K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 46 | $3K |
| D0330 | Panoramic radiographic image | <1% | 28 | $1K |
| D7111 | <1% | 18 | $194.99 | |
| D1999 | 0% | 1,521 | $0.00 | |
| D0603 | 0% | 4,975 | $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)
| Provider | Location | Paid |
|---|---|---|
| Ikids Pediatric Dentistry Arlington | Arlington, TX | $1.05M |
| Ikids Pediatric Dentistry and Orthodontics NFW | Fort Worth, TX | $856K |
| Ikids Pediatric Dentistry Burleson, PLLC | Burleson, TX | $769K |
| Ikids Pediatric Dentistry, PC | Mansfield, TX | $518K |
| Ikids Pediatric Dentistry Ennis, PLLC | Ennis, TX | $432K |
| Ikids Pediatric Dentistry Cedar Hill, PLLC | Cedar Hill, TX | $410K |
| Ikids Pediatric Dentistry Denton, PLLC | Denton, TX | $263K |
| Ikids Pediatric Dentistry Waxahachie PLLC | Waxahachie, TX | $179K |
| Ikids Pediatric Dentistry Tyler, PLLC | Tyler, TX | $149K |
| Ikids Pediatric Dentistry Viridian, PLLC | Arlington, TX | $121K |
| Ikids Pediatric Dentistry Lakewood, PLLC | Dallas, TX | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.