Dental
Belton Pediatric Dental PLLC
Belton Pediatric Dental PLLC was paid $285K by Medicaid between Apr 2018 and Jun 2021, across 19 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 15% of everything it billed.
33Billing provider infoBELTON PEDIATRIC DENTAL PLLC
BELTON, TX 76513
BELTON, TX 76513
33aNPI1740682467assigned 09/25/2014
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$285K
24GClaims12,361
24DCodes billed19
24AFirst – last monthApr 2018 – Jun 2021
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Texas
Rank by total paid#22 of 87
Median peer was paid$54K
This provider vs. median5.3×
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 | |
|---|---|---|---|
| 2018 | 12 | $0.00 | |
| 2019 | 121 | $1K | |
| 2020 | 2,779 | $63K | |
| 2021 | 9,449 | $220K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 15% | 294 | 66 | $41K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 1,151 | 1,139 | $40K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,227 | 1,216 | $33K |
| D1351 | Sealant - per tooth | 12% | 1,254 | 276 | $33K |
| D0145 | Oral evaluation for a patient under three years of age | 10% | 218 | 217 | $30K |
| D0272 | Bitewings - two radiographic images | 7.8% | 1,052 | 1,039 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 6.7% | 1,344 | 1,332 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 6.1% | 1,527 | 1,512 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.9% | 1,648 | 1,454 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.2% | 94 | 50 | $9K |
| D1110 | Prophylaxis - adult | 2.3% | 128 | 128 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.3% | 144 | 143 | $4K |
7 more codes
| D0274 | Bitewings - four radiographic images | 1.3% | 130 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 99 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 24 | $2K |
| D9248 | <1% | 15 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 108 | $1K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | $777.04 |
| D0603 | 0% | 1,892 | $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 officialWOOLFORD, CLAUDIA (GENERAL MANAGER)