Dental
Community Dental for Kids
Community Dental for Kids was paid $368K by Medicaid between Dec 2020 and Feb 2023, across 17 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.
33Billing provider infoCOMMUNITY DENTAL FOR KIDS
FORT STOCKTON, TX 79735
FORT STOCKTON, TX 79735
33aNPI1942740618assigned 03/01/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$368K
24GClaims14,180
24DCodes billed17
24AFirst – last monthDec 2020 – Feb 2023
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#631 of 2,774
Median peer was paid$43K
This provider vs. median8.6×
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 | 308 | $6K | |
| 2021 | 5,302 | $119K | |
| 2022 | 6,686 | $176K | |
| 2023 | 1,884 | $68K |
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 | 22% | 836 | 243 | $82K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,206 | 1,204 | $42K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 1,457 | 1,454 | $41K |
| D0145 | Oral evaluation for a patient under three years of age | 9.4% | 248 | 248 | $35K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.8% | 317 | 125 | $25K |
| D1110 | Prophylaxis - adult | 6.8% | 485 | 483 | $25K |
| D1208 | Topical application of fluoride, excluding varnish | 6.7% | 1,746 | 1,742 | $25K |
| D0274 | Bitewings - four radiographic images | 6.4% | 825 | 819 | $23K |
| D0272 | Bitewings - two radiographic images | 5.3% | 862 | 859 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 5.1% | 1,803 | 1,789 | $19K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.5% | 1,737 | 1,724 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 166 | 165 | $6K |
5 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 officialMCKENZIE, CHARLES (OWNER)