Dental
Lowes Boulevard Family Dentistry, PLLC
Lowes Boulevard Family Dentistry, PLLC was paid $3.13M by Medicaid between Oct 2020 and Dec 2024, across 24 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoLOWES BOULEVARD FAMILY DENTISTRY, PLLC
KILLEEN, TX 76542
KILLEEN, TX 76542
33aNPI1871126284assigned 02/14/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$3.13M
24GClaims100,462
24DCodes billed24
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#111 of 2,774
Median peer was paid$43K
This provider vs. median73×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official EVANS, EVERETT controls 20+ related entities in our dataset. Read more
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 | 2,506 | $93K | |
| 2021 | 18,280 | $603K | |
| 2022 | 27,424 | $889K | |
| 2023 | 28,047 | $790K | |
| 2024incomplete | 24,205 | $751K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20% | 6,430 | 2,028 | $613K |
| D1351 | Sealant - per tooth | 15% | 18,988 | 3,126 | $462K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 2,810 | 543 | $378K |
| D0145 | Oral evaluation for a patient under three years of age | 12% | 2,690 | 2,648 | $365K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.3% | 6,935 | 6,634 | $229K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.2% | 6,064 | 5,822 | $162K |
| D1208 | Topical application of fluoride, excluding varnish | 3.8% | 8,844 | 8,459 | $119K |
| D1110 | Prophylaxis - adult | 3.7% | 2,376 | 2,265 | $114K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 3,369 | 3,151 | $103K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 8,577 | 8,127 | $94K |
| D0272 | Bitewings - two radiographic images | 2.9% | 4,874 | 4,675 | $92K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 1,256 | 538 | $92K |
12 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 8,395 | $84K |
| D0274 | Bitewings - four radiographic images | 2.3% | 2,823 | $73K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.6% | 1,958 | $49K |
| D0330 | Panoramic radiographic image | 1.2% | 1,314 | $39K |
| D9248 | <1% | 226 | $25K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 132 | $9K |
| D2332 | <1% | 67 | $9K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 84 | $7K |
| D0140 | Limited oral evaluation - problem focused | <1% | 236 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 23 | $2K |
| D2330 | <1% | 23 | $2K | |
| D0603 | <1% | 11,968 | $0.10 |
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 officialEVANS, EVERETT (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Montana Dental, PLLC | El Paso, TX | $8.83M |
| Carrier Dental, PLLC | Grand Prairie, TX | $8.13M |
| Smile Magic of El Paso PLLC | El Paso, TX | $8.00M |
| Smile Magic of Lewisville, PLLC | Lewisville, TX | $7.29M |
| Smile Magic of Garland, PLLC | Garland, TX | $7.04M |
| Nolana Smiles, PLLC | Mcallen, TX | $5.61M |
| Smile Magic of Denton, PLLC | Denton, TX | $4.91M |
| Kingsville Dental PLLC | Kingsville, TX | $4.75M |
| Palestine Dental PLLC | Palestine, TX | $3.29M |
| Huntsville Dental PLLC | Huntsville, TX | $2.74M |
| Nacogdoches Dental PLLC | Nacogdoches, TX | $2.70M |
| Carmel Village Family Dentistry, PLLC | Corpus Christi, TX | $2.62M |
| Grandbury Dental , PLLC | Granbury, TX | $2.41M |
| San Dario Dentistry, PLLC | Laredo, TX | $1.92M |
| Beaumont Dental PLLC | Beaumont, TX | $1.87M |
| Mineral Wells, PLLC | Mineral Wells, TX | $1.82M |
| Brownwood Dental PLLS | Brownwood, TX | $1.72M |
| Dyer Family Dentistry, PLLC | El Paso, TX | $1.57M |
| Family Smiles of Greenville, PLLC | Greenville, TX | $1.53M |
| Burleson Dental, PLLC | Burleson, TX | $1.45M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.