Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

LSPD at Killeen, PLLC

LSPD at Killeen, PLLC was paid $259K by Medicaid between Aug 2019 and Jun 2021, across 20 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 12% of everything it billed.

33Billing provider infoLSPD AT KILLEEN, PLLC
KILLEEN, TX 76549
33aNPI1740721471assigned 03/14/2017
33bProvider typePediatric Dentist
28Total paid$259K
24GClaims10,512
24DCodes billed20
24AFirst – last monthAug 2019 – Jun 2021
Compared with peers

Next to other Pediatric Dentist providers in Texas

Rank by total paid#344 of 693
Median peer was paid$252K
This provider vs. median1.0×

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 MONTGOMERY, MARTY controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201912$0.00
20201,872$51K
20218,628$208K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0145 Oral evaluation for a patient under three years of age 12% 230 230 $32K
D1120 Dental cleaning, childProphylaxis - child 12% 881 872 $30K
D1351 Sealant - per tooth 10% 1,061 225 $27K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 8.9% 269 110 $23K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 8.7% 836 824 $23K
D2930 Prefabricated stainless steel crown - primary tooth 6.5% 135 50 $17K
D0272 Bitewings - two radiographic images 6.4% 773 765 $17K
D2391 Resin-based composite - one surface, posterior, primary or permanent 6.0% 223 128 $16K
D1208 Topical application of fluoride, excluding varnish 5.7% 1,067 1,055 $15K
D0230 Intraoral - periapical each additional radiographic image 5.4% 1,387 1,139 $14K
D0220 Intraoral - periapical first radiographic image 5.2% 1,212 1,195 $13K
D1110 Prophylaxis - adult 2.8% 149 148 $7K
8 more codes
D0150 Comprehensive oral evaluation - new or established patient 2.5% 195 $6K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.3% 226 $6K
D0274 Bitewings - four radiographic images 1.6% 143 $4K
D7140 Extraction, erupted tooth or exposed root 1.6% 72 $4K
D9248 1.1% 30 $3K
D0330 Panoramic radiographic image 1.0% 142 $3K
D0140 Limited oral evaluation - problem focused <1% 14 $261.04
D0603 0% 1,467 $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 officialMONTGOMERY, MARTY (OWNER)
Same official

Other billing entities under MONTGOMERY, MARTY

Full network →

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