Dentistry for Children of Fort Worth PLLC

Dentistry for Children of Fort Worth PLLC was paid $213K by Medicaid between Oct 2023 and Dec 2024, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 25% of everything it billed.

33Billing provider infoDENTISTRY FOR CHILDREN OF FORT WORTH PLLC
FORT WORTH, TX 76109

33aNPI1720705387assigned 10/25/2022

33bProvider typeDental Clinic/Center

28Total paid$213K

24GClaims11,190

24DCodes billed15

24AFirst – last monthOct 2023 – Dec 2024

Compared with peers

Next to other Dental Clinic/Center providers in Texas

Rank by total paid#108 of 255

Median peer was paid$110K

This provider vs. median1.9×

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 RICE, JO ANN controls 13+ 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
2023	2,251	$41K
2024incomplete	8,939	$171K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	1,975	1,943	$54K
D1120	Dental cleaning, childProphylaxis - child	24%	1,523	1,492	$52K
D1208	Topical application of fluoride, excluding varnish	12%	1,870	1,841	$26K
D0272	Bitewings - two radiographic images	10%	1,034	1,010	$22K
D1110	Prophylaxis - adult	8.7%	360	357	$19K
D1351	Sealant - per tooth	5.0%	397	63	$11K
D0220	Intraoral - periapical first radiographic image	3.9%	734	689	$8K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	3.4%	273	250	$7K
D0230	Intraoral - periapical each additional radiographic image	2.0%	416	380	$4K
D0274	Bitewings - four radiographic images	2.0%	127	127	$4K
D0145	Oral evaluation for a patient under three years of age	<1%	15	15	$2K
D0330	Panoramic radiographic image	<1%	34	33	$1K

3 more codes

D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	16	$1K
D0150	Comprehensive oral evaluation - new or established patient	<1%	37	$1K
D0603		0%	2,379	$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 officialRICE, JO ANN (CREDENTIALING MANAGER)

Same official

Other billing entities under RICE, JO ANN

Full network →

Provider	Location	Paid
Dentistry for Children of South Carolina, PC	Charleston, SC	$68.46M
Dentistry for Children of Maryland, LLC	Laurel, MD	$2.76M
Dentistry for Children of Maryland, LLC	Ashton, MD	$1.82M
Dentistry for Children of Maryland, LLC	Columbia, MD	$1.65M
Specialist in Orthodontics of Maryland, LLC	Potomac, MD	$89K
Oral Surgery of Maryland, LLC Jerome Casper Sole MBR	Baltimore, MD	$46K
Specialists in Orthodontics of Maryland, LLC	Laurel, MD	$42K
Family Orthodontics of Maryland LLC	Upper Marlboro, MD	$20K
Dentistry for Children of Maryland, LLC	La Plata, MD	$16K
Dentistry for Children of Florida, PLLC	Palm Beach Gardens, FL	$14K
Family Orthodontics of Maryland LLC	La Plata, MD	$7K
Dentistry for Children of Maryland, LLC	Laurel, MD	$1K
Dentistry for Children of Maryland, LLC	Ft Washington, MD	$1K

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