Dental
Bryan Pediatric Dentistry
Bryan Pediatric Dentistry was paid $4.59M by Medicaid between Jun 2019 and Dec 2024, across 23 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 17% of everything it billed.
33Billing provider infoBRYAN PEDIATRIC DENTISTRY
BRYAN, TX 77802
BRYAN, TX 77802
33aNPI1891219499assigned 07/26/2017
33bProvider typePediatric Dentist
28Total paid$4.59M
24GClaims145,273
24DCodes billed23
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#36 of 693
Median peer was paid$252K
This provider vs. median18×
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 | |
|---|---|---|---|
| 2019 | 12 | $0.00 | |
| 2020 | 2,279 | $76K | |
| 2021 | 28,571 | $952K | |
| 2022 | 35,176 | $1.05M | |
| 2023 | 39,172 | $1.24M | |
| 2024incomplete | 40,063 | $1.27M |
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 | 17% | 5,709 | 5,654 | $794K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 3,508 | 1,588 | $501K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 13,097 | 13,010 | $465K |
| D1351 | Sealant - per tooth | 8.6% | 14,545 | 3,223 | $396K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.3% | 3,880 | 1,757 | $380K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.1% | 11,516 | 11,460 | $325K |
| D9248 | 6.2% | 2,497 | 2,413 | $285K | |
| D0272 | Bitewings - two radiographic images | 5.7% | 12,206 | 12,122 | $261K |
| D1208 | Topical application of fluoride, excluding varnish | 4.5% | 14,432 | 14,334 | $206K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 14,214 | 14,055 | $156K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 14,169 | 13,629 | $142K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.6% | 1,514 | 904 | $121K |
11 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 3,029 | $103K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.9% | 1,226 | $88K |
| D7140 | Extraction, erupted tooth or exposed root | 1.9% | 1,436 | $87K |
| D1110 | Prophylaxis - adult | 1.7% | 1,439 | $76K |
| D0210 | Intraoral - complete series of radiographic images | 1.2% | 777 | $53K |
| D0274 | Bitewings - four radiographic images | 1.1% | 1,487 | $49K |
| D0330 | Panoramic radiographic image | 1.1% | 1,874 | $48K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,662 | $30K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 840 | $22K |
| D1510 | <1% | 15 | $2K | |
| D0603 | 0% | 20,201 | $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 officialDONNELLY, KRISTINE (OWNER, PEDIATRIC DENTIST)