Dental
Pediatric Dentistry
Pediatric Dentistry was paid $551K by Medicaid between Nov 2020 and Dec 2024, across 16 billing codes. Its largest line is D0120, dental checkup, returning patient — 19% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY
LAREDO, TX 78040
LAREDO, TX 78040
33aNPI1720472707assigned 03/26/2015
33bProvider typePediatric Dentist
28Total paid$551K
24GClaims22,982
24DCodes billed16
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#259 of 693
Median peer was paid$252K
This provider vs. median2.2×
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 | 196 | $4K | |
| 2021 | 6,538 | $165K | |
| 2022 | 6,181 | $160K | |
| 2023 | 5,109 | $121K | |
| 2024incomplete | 4,958 | $101K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 3,615 | 3,613 | $102K |
| D1110 | Prophylaxis - adult | 15% | 1,532 | 1,530 | $83K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 2,113 | 2,112 | $76K |
| D0272 | Bitewings - two radiographic images | 13% | 3,152 | 3,149 | $72K |
| D1208 | Topical application of fluoride, excluding varnish | 9.6% | 3,668 | 3,666 | $53K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.0% | 605 | 372 | $44K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.1% | 380 | 244 | $33K |
| D0330 | Panoramic radiographic image | 4.1% | 379 | 379 | $23K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.1% | 894 | 859 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 1,316 | 1,230 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 1,158 | 997 | $11K |
| D0145 | Oral evaluation for a patient under three years of age | 1.5% | 63 | 63 | $9K |
4 more codes
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 officialESPARZA, FELIPE (PEDIATRIC DENTIST)