Dental
Las Palmas Children's Dentistry
Las Palmas Children's Dentistry was paid $2.88M by Medicaid between Sep 2018 and Dec 2024, across 23 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 15% of everything it billed.
33Billing provider infoLAS PALMAS CHILDREN'S DENTISTRY
PHARR, TX 78577
PHARR, TX 78577
33aNPI1750567434assigned 01/13/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$2.88M
24GClaims99,918
24DCodes billed23
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#123 of 2,774
Median peer was paid$43K
This provider vs. median67×
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 | 89 | $1K | |
| 2019 | 25 | $0.00 | |
| 2020 | 3,860 | $117K | |
| 2021 | 23,739 | $743K | |
| 2022 | 30,400 | $844K | |
| 2023 | 23,848 | $632K | |
| 2024incomplete | 17,957 | $540K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 15% | 3,010 | 733 | $434K |
| D1351 | Sealant - per tooth | 15% | 15,594 | 3,991 | $434K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.5% | 9,575 | 9,528 | $274K |
| D0145 | Oral evaluation for a patient under three years of age | 7.8% | 1,602 | 1,598 | $226K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.6% | 6,038 | 6,010 | $219K |
| D1110 | Prophylaxis - adult | 7.1% | 3,752 | 3,732 | $203K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.6% | 1,576 | 893 | $162K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.6% | 14,868 | 8,676 | $161K |
| D1208 | Topical application of fluoride, excluding varnish | 5.0% | 9,821 | 9,774 | $143K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.9% | 1,795 | 1,035 | $141K |
| D0272 | Bitewings - two radiographic images | 4.3% | 5,421 | 5,394 | $124K |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 9,355 | 9,229 | $114K |
11 more codes
| D0274 | Bitewings - four radiographic images | 3.9% | 3,295 | $111K |
| D9248 | 2.8% | 681 | $80K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 1,312 | $35K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 166 | $6K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 35 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 40 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 107 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 17 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 15 | $832.78 |
| D7111 | <1% | 30 | $344.10 | |
| D0603 | 0% | 11,813 | $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 officialRODRIGUEZ, MARIA DEJESUS (PRESIDENT/PEDIATRIC DENTIST)