Dental
Georgetown Pediatric Dentistry, LLC
Georgetown Pediatric Dentistry, LLC was paid $2.07M by Medicaid between Nov 2020 and Dec 2024, across 24 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 38% of everything it billed.
33Billing provider infoGEORGETOWN PEDIATRIC DENTISTRY, LLC
GEORGETOWN, TX 78633
GEORGETOWN, TX 78633
33aNPI1851567499assigned 05/04/2008
33bProvider typePediatric Dentist
28Total paid$2.07M
24GClaims61,525
24DCodes billed24
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#113 of 693
Median peer was paid$252K
This provider vs. median8.2×
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 | 1,569 | $62K | |
| 2021 | 14,502 | $502K | |
| 2022 | 15,928 | $575K | |
| 2023 | 17,651 | $620K | |
| 2024incomplete | 11,875 | $314K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 38% | 5,557 | 1,042 | $784K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 7,050 | 6,905 | $247K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.1% | 6,078 | 5,974 | $168K |
| D0272 | Bitewings - two radiographic images | 8.0% | 7,644 | 7,484 | $167K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 3,555 | 3,451 | $118K |
| D1351 | Sealant - per tooth | 5.7% | 4,519 | 1,347 | $118K |
| D1208 | Topical application of fluoride, excluding varnish | 5.6% | 8,071 | 7,917 | $115K |
| D9248 | 3.0% | 548 | 512 | $62K | |
| D0145 | Oral evaluation for a patient under three years of age | 2.5% | 369 | 368 | $51K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.3% | 571 | 194 | $47K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.0% | 423 | 238 | $41K |
| D1110 | Prophylaxis - adult | 2.0% | 798 | 774 | $41K |
12 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 2,565 | $30K |
| D0274 | Bitewings - four radiographic images | 1.4% | 936 | $29K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 227 | $16K |
| D9420 | <1% | 400 | $14K | |
| D0330 | Panoramic radiographic image | <1% | 184 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 113 | $6K |
| D2934 | <1% | 34 | $5K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 172 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 166 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | $225.36 |
| D1206 | Topical application of fluoride varnish | <1% | 15 | $216.50 |
| D0603 | 0% | 11,518 | $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 officialHAVARD, KENNETH (PARTNER/DENTIST)