Lakeline Ranch Dental

Lakeline Ranch Dental was paid $2K by Medicaid between Dec 2020 and Mar 2021, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.

33Billing provider infoLAKELINE RANCH DENTAL
AUSTIN, TX 78717

33aNPI1972926699assigned 01/31/2014

33bProvider typePreferred Provider Organization

28Total paid$2K

24GClaims98

24DCodes billed5

24AFirst – last monthDec 2020 – Mar 2021

Compared with peers

Next to other Preferred Provider Organization providers in Texas

Rank by total paid#29 of 32

Median peer was paid$168K

This provider vs. median0.0×

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	86	$2K
2021	12	$161.70

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	32%	16	16	$588.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	18	18	$507.90
D1208	Topical application of fluoride, excluding varnish	26%	34	34	$485.10
D0272	Bitewings - two radiographic images	15%	12	12	$280.56
D0601		0%	18	17	$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 officialZAHEDI, ARDALAN (OWNER)