Dental
Windcrest Pediatric Dentistry
Windcrest Pediatric Dentistry was paid $5.68M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 12% of everything it billed.
33Billing provider infoWINDCREST PEDIATRIC DENTISTRY
SAN ANTONIO, TX 78218
SAN ANTONIO, TX 78218
33aNPI1982964839assigned 05/25/2012
33bProvider typePediatric Dentist
28Total paid$5.68M
24GClaims173,573
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#22 of 693
Median peer was paid$252K
This provider vs. median23×
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 | |
|---|---|---|---|
| 2018 | 579 | $9K | |
| 2019 | 334 | $5K | |
| 2020 | 5,935 | $195K | |
| 2021 | 42,807 | $1.32M | |
| 2022 | 40,493 | $1.27M | |
| 2023 | 43,250 | $1.47M | |
| 2024incomplete | 40,175 | $1.42M |
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 | 12% | 5,113 | 5,082 | $710K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 10% | 4,045 | 1,901 | $575K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.6% | 15,611 | 15,514 | $546K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.2% | 16,917 | 16,813 | $467K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.1% | 4,949 | 2,448 | $458K |
| D1351 | Sealant - per tooth | 7.8% | 16,844 | 2,907 | $442K |
| D9248 | 6.0% | 3,154 | 2,970 | $343K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 6.0% | 4,239 | 1,869 | $339K |
| D1206 | Topical application of fluoride varnish | 5.0% | 20,273 | 20,143 | $285K |
| D1110 | Prophylaxis - adult | 5.0% | 5,422 | 5,380 | $284K |
| D0272 | Bitewings - two radiographic images | 3.9% | 10,592 | 10,501 | $219K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.4% | 2,804 | 1,353 | $194K |
19 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 4,966 | $164K |
| D0330 | Panoramic radiographic image | 2.0% | 3,537 | $116K |
| D0274 | Bitewings - four radiographic images | 1.8% | 3,484 | $104K |
| D7140 | Extraction, erupted tooth or exposed root | 1.6% | 1,552 | $88K |
| D0240 | 1.4% | 10,750 | $80K | |
| D0210 | Intraoral - complete series of radiographic images | 1.2% | 992 | $67K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 1,639 | $42K |
| D2934 | <1% | 277 | $40K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,988 | $35K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,189 | $35K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,990 | $19K |
| D7111 | <1% | 1,031 | $11K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 685 | $10K |
| D9420 | <1% | 157 | $6K | |
| D2332 | <1% | 18 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 21 | $2K |
| D0270 | <1% | 128 | $570.68 | |
| D0603 | 0% | 27,193 | $0.00 | |
| D3120 | 0% | 13 | $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 officialAWAGU, SYLVESTER (OWNER)