Dental
Cook Childrens Physician Network
Cook Childrens Physician Network was paid $2.45M by Medicaid between Nov 2020 and Dec 2024, across 24 billing codes. Its largest line is D1120, dental cleaning, child — 13% of everything it billed.
33Billing provider infoCOOK CHILDRENS PHYSICIAN NETWORK
FORT WORTH, TX 76105
FORT WORTH, TX 76105
33aNPI1841601291assigned 05/19/2014
33bProvider typePediatric Dentist
28Total paid$2.45M
24GClaims112,555
24DCodes billed24
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#99 of 693
Median peer was paid$252K
This provider vs. median9.7×
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 | 2,200 | $41K | |
| 2021 | 30,312 | $664K | |
| 2022 | 35,830 | $819K | |
| 2023 | 20,838 | $486K | |
| 2024incomplete | 23,375 | $441K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 9,079 | 8,982 | $309K |
| D0145 | Oral evaluation for a patient under three years of age | 12% | 2,271 | 2,253 | $305K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 24,875 | 11,313 | $261K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 9,409 | 9,330 | $257K |
| D1351 | Sealant - per tooth | 8.2% | 8,130 | 1,928 | $201K |
| D1208 | Topical application of fluoride, excluding varnish | 6.5% | 11,664 | 11,531 | $158K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.8% | 1,598 | 1,087 | $142K |
| D0220 | Intraoral - periapical first radiographic image | 5.6% | 11,997 | 11,819 | $138K |
| D0272 | Bitewings - two radiographic images | 5.5% | 6,246 | 6,187 | $134K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.9% | 1,715 | 1,045 | $120K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.7% | 884 | 278 | $116K |
| D1110 | Prophylaxis - adult | 3.0% | 1,421 | 1,409 | $74K |
12 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.6% | 2,610 | $64K |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 1,320 | $60K |
| D0274 | Bitewings - four radiographic images | 2.0% | 1,570 | $49K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 1,160 | $37K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 140 | $9K |
| D9420 | <1% | 193 | $6K | |
| D0330 | Panoramic radiographic image | <1% | 398 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 209 | $4K |
| D9310 | <1% | 174 | $2K | |
| D1330 | <1% | 25 | $220.50 | |
| D0603 | 0% | 15,447 | $0.00 | |
| D3120 | 0% | 20 | $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 officialDZURIK, MATTHEW (PRESIDENT, CCPN)
Parent organizationCOOK CHILDRENS PHYSICIAN NETWORK
| Provider | Location | Paid |
|---|---|---|
| Cook Children's Physician Network | Fort Worth, TX | $106.20M |
| Cook Children's Physician Network | Fort Worth, TX | $25.66M |
| Cook Children's Physician Network | Fort Worth, TX | $902K |
| Cook Children's Physician Network | Lubbock, TX | $116K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.