Dental
Pediatric Dentistry of Rowlett
Pediatric Dentistry of Rowlett was paid $935K by Medicaid between Nov 2020 and Dec 2024, across 20 billing codes. Its largest line is D1351, Sealant - per tooth — 20% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF ROWLETT
ROWLETT, TX 75088
ROWLETT, TX 75088
33aNPI1912284217assigned 11/15/2011
33bProvider typePediatric Dentist
28Total paid$935K
24GClaims40,078
24DCodes billed20
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#198 of 693
Median peer was paid$252K
This provider vs. median3.7×
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 | 1,392 | $33K | |
| 2021 | 11,547 | $280K | |
| 2022 | 10,045 | $235K | |
| 2023 | 10,410 | $248K | |
| 2024incomplete | 6,684 | $140K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 20% | 6,856 | 1,767 | $189K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 3,909 | 3,891 | $140K |
| D0145 | Oral evaluation for a patient under three years of age | 14% | 967 | 965 | $135K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 3,673 | 3,659 | $105K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.6% | 7,177 | 2,698 | $80K |
| D1208 | Topical application of fluoride, excluding varnish | 6.6% | 4,277 | 4,260 | $62K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.2% | 624 | 351 | $58K |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 3,074 | 3,011 | $37K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.0% | 1,366 | 1,282 | $28K |
| D0330 | Panoramic radiographic image | 2.7% | 419 | 416 | $26K |
| D0272 | Bitewings - two radiographic images | 2.0% | 808 | 804 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 539 | 538 | $18K |
8 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 187 | $14K |
| D0274 | Bitewings - four radiographic images | 1.3% | 357 | $12K |
| D1110 | Prophylaxis - adult | <1% | 155 | $8K |
| D9248 | <1% | 40 | $4K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 39 | $694.86 |
| D0603 | 0% | 5,378 | $0.00 | |
| D0601 | 0% | 162 | $0.00 | |
| D0602 | 0% | 71 | $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 officialRAMSEY, ASHLEY (PRESIDENT)