Dental
Dentium Pediatric Dental P.C.
Dentium Pediatric Dental P.C. was paid $63K by Medicaid between Nov 2020 and Jun 2024, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoDENTIUM PEDIATRIC DENTAL P.C.
FRISCO, TX 75034
FRISCO, TX 75034
33aNPI1922529874assigned 06/30/2017
33bProvider typePediatric Dentist
28Total paid$63K
24GClaims4,355
24DCodes billed8
24AFirst – last monthNov 2020 – Jun 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#465 of 693
Median peer was paid$252K
This provider vs. median0.3×
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 | 85 | $1K | |
| 2021 | 976 | $13K | |
| 2022 | 1,331 | $19K | |
| 2023 | 1,462 | $23K | |
| 2024incomplete | 501 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 474 | 474 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 424 | 424 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | 17% | 1,028 | 599 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 13% | 691 | 677 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 540 | 540 | $8K |
| D0272 | Bitewings - two radiographic images | 11% | 315 | 315 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.0% | 27 | 25 | $650.64 |
| D0602 | 0% | 856 | 855 | $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 officialSHIR, SOLMAZ (OWNER)