Dental
Texas Kids Dental Care of Montana Vista, PA.
Texas Kids Dental Care of Montana Vista, PA. was paid $9.58M by Medicaid between Feb 2018 and Dec 2024, across 33 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 14% of everything it billed.
33Billing provider infoTEXAS KIDS DENTAL CARE OF MONTANA VISTA, PA.
EL PASO, TX 79938
EL PASO, TX 79938
33aNPI1821368507assigned 01/11/2012
33bProvider typeDentist
28Total paid$9.58M
24GClaims356,632
24DCodes billed33
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#11 of 1,678
Median peer was paid$35K
This provider vs. median278×
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 | 237 | $2K | |
| 2019 | 359 | $4K | |
| 2020 | 8,890 | $234K | |
| 2021 | 83,909 | $2.25M | |
| 2022 | 89,751 | $2.39M | |
| 2023 | 92,487 | $2.42M | |
| 2024incomplete | 80,999 | $2.29M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 14% | 9,546 | 9,461 | $1.33M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 8,194 | 2,352 | $1.16M |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 31,123 | 30,897 | $1.12M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 37,844 | 37,595 | $1.07M |
| D0272 | Bitewings - two radiographic images | 6.5% | 28,348 | 28,163 | $627K |
| D1206 | Topical application of fluoride varnish | 6.1% | 40,850 | 40,575 | $588K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.1% | 53,368 | 42,902 | $582K |
| D1110 | Prophylaxis - adult | 6.0% | 10,733 | 10,670 | $574K |
| D0220 | Intraoral - periapical first radiographic image | 5.6% | 45,822 | 45,433 | $540K |
| D7240 | Removal of impacted tooth - completely bony | 3.7% | 1,286 | 396 | $357K |
| D0274 | Bitewings - four radiographic images | 3.5% | 10,788 | 10,725 | $339K |
| D9248 | 3.1% | 2,599 | 2,565 | $296K |
21 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 3,398 | $256K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 2,325 | $227K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 3,740 | $126K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 3,221 | $84K |
| D2335 | <1% | 408 | $59K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 827 | $46K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 453 | $36K |
| D0330 | Panoramic radiographic image | <1% | 2,553 | $33K |
| D9239 | <1% | 515 | $28K | |
| D9243 | <1% | 671 | $26K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,323 | $24K |
| D1351 | Sealant - per tooth | <1% | 651 | $17K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 224 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 653 | $9K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 79 | $5K |
| D9610 | <1% | 206 | $4K | |
| D9222 | <1% | 24 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 17 | $2K |
| D7111 | <1% | 20 | $229.40 | |
| D9986 | 0% | 12 | $0.00 | |
| D0603 | 0% | 54,811 | $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 officialPORRAS, PRISCILLA (GENERAL MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Texas Kids Dental Care West PA | El Paso, TX | $6.63M |
| Texas Kids Dental Care of Fabens, PA | Fabens, TX | $2.79M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.