Dental
San Marcos Pediatric Dentistry and Orthodontics
San Marcos Pediatric Dentistry and Orthodontics was paid $1.00M by Medicaid between May 2022 and Dec 2024, across 24 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 14% of everything it billed.
33Billing provider infoSAN MARCOS PEDIATRIC DENTISTRY AND ORTHODONTICS
SAN MARCOS, TX 78666
SAN MARCOS, TX 78666
33aNPI1750032504assigned 01/13/2022
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$1.00M
24GClaims43,595
24DCodes billed24
24AFirst – last monthMay 2022 – Dec 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Texas
Rank by total paid#10 of 87
Median peer was paid$54K
This provider vs. median19×
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 | |
|---|---|---|---|
| 2022 | 9,297 | $204K | |
| 2023 | 18,659 | $436K | |
| 2024incomplete | 15,639 | $364K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 1,017 | 211 | $137K |
| D0145 | Oral evaluation for a patient under three years of age | 13% | 982 | 956 | $130K |
| D1351 | Sealant - per tooth | 12% | 4,538 | 831 | $120K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.9% | 2,867 | 2,790 | $99K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.0% | 2,484 | 2,468 | $70K |
| D1206 | Topical application of fluoride varnish | 5.3% | 3,812 | 3,714 | $53K |
| D0272 | Bitewings - two radiographic images | 5.0% | 2,689 | 2,601 | $50K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.9% | 1,594 | 1,493 | $49K |
| D1110 | Prophylaxis - adult | 4.7% | 908 | 885 | $47K |
| D9248 | 4.5% | 426 | 390 | $45K | |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 4,512 | 4,323 | $41K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 4,775 | 4,020 | $37K |
12 more codes
| D0330 | Panoramic radiographic image | 2.8% | 1,135 | $28K |
| D0274 | Bitewings - four radiographic images | 2.4% | 892 | $24K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 304 | $23K |
| D0210 | Intraoral - complete series of radiographic images | 1.9% | 325 | $20K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.2% | 121 | $12K |
| D1330 | <1% | 598 | $5K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 96 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 245 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 132 | $3K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 29 | $2K |
| D1999 | 0% | 3,670 | $0.00 | |
| D0603 | 0% | 5,444 | $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 officialLEUNG, DEREK (OWNER)