Dental
Pediatric Smiles P.A.
Pediatric Smiles P.A. was paid $1.29M by Medicaid between Nov 2020 and Dec 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 13% of everything it billed.
33Billing provider infoPEDIATRIC SMILES P.A.
BEDFORD, TX 76021
BEDFORD, TX 76021
33aNPI1780893255assigned 05/22/2007
33bProvider typePediatric Dentist
28Total paid$1.29M
24GClaims54,878
24DCodes billed23
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#157 of 693
Median peer was paid$252K
This provider vs. median5.1×
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 | |
|---|---|---|---|
| 2020 | 1,253 | $23K | |
| 2021 | 14,803 | $348K | |
| 2022 | 15,874 | $411K | |
| 2023 | 12,720 | $281K | |
| 2024incomplete | 10,228 | $229K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 4,864 | 4,773 | $171K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 5,667 | 5,570 | $159K |
| D1351 | Sealant - per tooth | 10% | 5,063 | 1,322 | $134K |
| D0145 | Oral evaluation for a patient under three years of age | 7.7% | 727 | 716 | $100K |
| D1110 | Prophylaxis - adult | 7.3% | 1,800 | 1,771 | $94K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.1% | 8,313 | 5,402 | $92K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.0% | 970 | 475 | $90K |
| D1208 | Topical application of fluoride, excluding varnish | 6.9% | 6,247 | 6,143 | $89K |
| D0272 | Bitewings - two radiographic images | 6.6% | 3,792 | 3,718 | $86K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 5,846 | 5,712 | $71K |
| D0274 | Bitewings - four radiographic images | 4.2% | 1,617 | 1,594 | $54K |
| D0210 | Intraoral - complete series of radiographic images | 4.0% | 774 | 757 | $52K |
11 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.0% | 278 | $39K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 1,030 | $34K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 393 | $10K |
| D9248 | <1% | 70 | $7K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 76 | $6K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 43 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 31 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 26 | $488.28 |
| D0603 | 0% | 6,330 | $0.00 | |
| D0602 | 0% | 824 | $0.00 | |
| D0601 | 0% | 97 | $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 officialKRONE, MANIVARA (PRESIDENT)