Dental
Heaton Pediatrics, PLLC
Heaton Pediatrics, PLLC was paid $1.50M by Medicaid between Nov 2020 and Aug 2022, across 24 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 24% of everything it billed.
33Billing provider infoHEATON PEDIATRICS, PLLC
HARKER HEIGHTS, TX 76548
HARKER HEIGHTS, TX 76548
33aNPI1841557105assigned 04/11/2012
33bProvider typePediatric Dentist
28Total paid$1.50M
24GClaims47,344
24DCodes billed24
24AFirst – last monthNov 2020 – Aug 2022
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#145 of 693
Median peer was paid$252K
This provider vs. median5.9×
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 | 2,443 | $84K | |
| 2021 | 27,756 | $884K | |
| 2022 | 17,145 | $531K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 24% | 2,611 | 768 | $356K |
| D0145 | Oral evaluation for a patient under three years of age | 12% | 1,265 | 1,258 | $175K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 4,867 | 4,826 | $172K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.2% | 4,956 | 4,913 | $138K |
| D1351 | Sealant - per tooth | 8.1% | 4,502 | 1,204 | $121K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.4% | 1,109 | 589 | $96K |
| D0272 | Bitewings - two radiographic images | 5.0% | 3,395 | 3,337 | $76K |
| D1206 | Topical application of fluoride varnish | 4.8% | 5,079 | 5,036 | $72K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 835 | 508 | $57K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 4,255 | 4,156 | $50K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.8% | 3,917 | 3,618 | $42K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.5% | 1,495 | 1,441 | $38K |
12 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 754 | $25K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 415 | $21K |
| D0330 | Panoramic radiographic image | 1.3% | 362 | $20K |
| D1110 | Prophylaxis - adult | 1.1% | 313 | $16K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 140 | $10K |
| D2934 | <1% | 46 | $5K | |
| D9248 | <1% | 41 | $5K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 96 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 24 | $796.03 |
| D0602 | 0% | 1,941 | $0.00 | |
| D0603 | 0% | 4,840 | $0.00 | |
| D0601 | 0% | 86 | $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 officialHEATON, ANDREW (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Lakeside Childrens Dentistry | Marble Falls, TX | $1.79M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.