Dental
Lake Travis Family & Cosmetic Dentistry PLLC
Lake Travis Family & Cosmetic Dentistry PLLC was paid $161.70 by Medicaid between Dec 2020 and Dec 2020, across 2 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 100% of everything it billed.
33Billing provider infoLAKE TRAVIS FAMILY & COSMETIC DENTISTRY PLLC
LAKEWAY, TX 78734
LAKEWAY, TX 78734
33aNPI1790047215assigned 06/11/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$161.70
24GClaims28
24DCodes billed2
24AFirst – last monthDec 2020 – Dec 2020
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#2,619 of 2,774
Median peer was paid$43K
This provider vs. median0.0×
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.
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 | 28 | $161.70 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 100% | 13 | 12 | $161.70 |
| D0603 | 0% | 15 | 13 | $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 officialPANAHI, DAVID (OWNER/DENTIST)