Clinic
Boerne Orthodontics, PLLC
Boerne Orthodontics, PLLC was paid $191K by Medicaid between Nov 2020 and May 2023, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.
33Billing provider infoBOERNE ORTHODONTICS, PLLC
BOERNE, TX 78006
BOERNE, TX 78006
33aNPI1932515020assigned 07/09/2014
33bProvider typeDental Clinic/Center
28Total paid$191K
24GClaims10,835
24DCodes billed15
24AFirst – last monthNov 2020 – May 2023
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#111 of 255
Median peer was paid$110K
This provider vs. median1.7×
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 | 176 | $3K | |
| 2021 | 3,530 | $61K | |
| 2022 | 4,310 | $78K | |
| 2023 | 2,819 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 1,516 | 1,477 | $39K |
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 1,417 | 1,380 | $38K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 1,896 | 1,848 | $21K |
| D0272 | Bitewings - two radiographic images | 9.7% | 957 | 926 | $19K |
| D1110 | Prophylaxis - adult | 9.4% | 379 | 371 | $18K |
| D0274 | Bitewings - four radiographic images | 8.0% | 531 | 519 | $15K |
| D1351 | Sealant - per tooth | 6.0% | 475 | 69 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.5% | 80 | 37 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.4% | 814 | 459 | $6K |
| D0145 | Oral evaluation for a patient under three years of age | 2.6% | 39 | 39 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 515 | 500 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 183 | 174 | $4K |
3 more codes
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 officialVANDEBERG, JAMES (OWNER)