Dental
A Tooth Doctor for Kids Dallas PLLC
A Tooth Doctor for Kids Dallas PLLC was paid $521K by Medicaid between Oct 2020 and Aug 2022, across 20 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 19% of everything it billed.
33Billing provider infoA TOOTH DOCTOR FOR KIDS DALLAS PLLC
PHOENIX, AZ 85018
PHOENIX, AZ 85018
33aNPI1962790626assigned 07/15/2011
33bProvider typeDentist
28Total paid$521K
24GClaims22,743
24DCodes billed20
24AFirst – last monthOct 2020 – Aug 2022
Compared with peers
Next to other Dentist providers in Arizona
Rank by total paid#26 of 468
Median peer was paid$686.85
This provider vs. median759×
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 | 1,784 | $44K | |
| 2021 | 13,975 | $321K | |
| 2022 | 6,984 | $157K |
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 | 19% | 730 | 719 | $100K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 2,123 | 2,109 | $75K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 2,611 | 2,599 | $74K |
| D1351 | Sealant - per tooth | 13% | 2,666 | 486 | $68K |
| D1206 | Topical application of fluoride varnish | 7.2% | 2,621 | 2,605 | $37K |
| D1110 | Prophylaxis - adult | 7.0% | 687 | 685 | $37K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.6% | 3,228 | 1,936 | $35K |
| D0274 | Bitewings - four radiographic images | 5.0% | 821 | 818 | $26K |
| D0220 | Intraoral - periapical first radiographic image | 4.6% | 2,036 | 2,007 | $24K |
| D0272 | Bitewings - two radiographic images | 3.0% | 731 | 723 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 107 | 59 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 256 | 249 | $8K |
8 more codes
| D0330 | Panoramic radiographic image | <1% | 162 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 40 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 26 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 76 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 110 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 25 | $1K |
| D0603 | 0% | 1,088 | $0.00 | |
| D0602 | 0% | 2,599 | $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 officialSCOTT, MALCOLM (OWNER)