Dental
Fort Bend Pediatric Dentistry
Fort Bend Pediatric Dentistry was paid $2.93M by Medicaid between Oct 2018 and Dec 2024, across 27 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 18% of everything it billed.
33Billing provider infoFORT BEND PEDIATRIC DENTISTRY
MISSOURI CITY, TX 77459
MISSOURI CITY, TX 77459
33aNPI1780993063assigned 10/04/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$2.93M
24GClaims90,654
24DCodes billed27
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#119 of 2,774
Median peer was paid$43K
This provider vs. median69×
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 | 88 | $992.95 | |
| 2019 | 119 | $1K | |
| 2020 | 2,995 | $102K | |
| 2021 | 19,501 | $629K | |
| 2022 | 25,653 | $871K | |
| 2023 | 24,814 | $838K | |
| 2024incomplete | 17,484 | $489K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 18% | 3,827 | 1,078 | $535K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 5,315 | 1,640 | $518K |
| D1351 | Sealant - per tooth | 7.7% | 8,799 | 1,641 | $227K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.4% | 18,241 | 6,878 | $187K |
| D9248 | 6.4% | 1,622 | 1,576 | $187K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 6.2% | 2,282 | 673 | $183K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.9% | 5,019 | 4,935 | $174K |
| D0145 | Oral evaluation for a patient under three years of age | 5.8% | 1,266 | 1,240 | $171K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.9% | 5,148 | 5,066 | $143K |
| D1208 | Topical application of fluoride, excluding varnish | 3.2% | 6,727 | 6,612 | $94K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 7,678 | 7,442 | $87K |
| D1110 | Prophylaxis - adult | 2.7% | 1,533 | 1,503 | $79K |
15 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 901 | $66K |
| D0274 | Bitewings - four radiographic images | 2.1% | 2,053 | $61K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 1,494 | $50K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 857 | $41K |
| D0272 | Bitewings - two radiographic images | 1.4% | 1,862 | $40K |
| D2934 | <1% | 198 | $29K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 929 | $18K |
| D0140 | Limited oral evaluation - problem focused | <1% | 977 | $17K |
| D1330 | <1% | 1,587 | $6K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 80 | $5K |
| D2332 | <1% | 34 | $4K | |
| D0330 | Panoramic radiographic image | <1% | 340 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 28 | $3K |
| D0350 | <1% | 285 | $2K | |
| D0603 | <1% | 11,572 | $0.09 |
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 officialAMINI, SHERVIN (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| South Texas Family Dentistry LLC | Houston, TX | $1.07M |
| Texas Family Dentistry PLLC | Houston, TX | $313K |
| Bay Oaks Pediatric Dentistry PLLC | Houston, TX | $6K |
| Kidzone Dental PLLC | Houston, TX | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.