Dental
Basin Pediatric Dentistry
Basin Pediatric Dentistry was paid $6.68M by Medicaid between Oct 2018 and Dec 2024, across 26 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 30% of everything it billed.
33Billing provider infoBASIN PEDIATRIC DENTISTRY
ANDREWS, TX 79714
ANDREWS, TX 79714
33aNPI1982970109assigned 04/02/2012
33bProvider typePediatric Dentist
28Total paid$6.68M
24GClaims178,691
24DCodes billed26
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#16 of 693
Median peer was paid$252K
This provider vs. median26×
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 | 59 | $886.10 | |
| 2019 | 50 | $654.20 | |
| 2020 | 4,005 | $180K | |
| 2021 | 42,282 | $1.76M | |
| 2022 | 47,101 | $1.80M | |
| 2023 | 48,114 | $1.72M | |
| 2024incomplete | 37,080 | $1.21M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 30% | 14,252 | 2,057 | $2.00M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.9% | 6,643 | 2,593 | $659K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.2% | 17,877 | 17,712 | $614K |
| D0145 | Oral evaluation for a patient under three years of age | 7.8% | 3,766 | 3,747 | $521K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 18,309 | 18,180 | $516K |
| D0272 | Bitewings - two radiographic images | 5.1% | 14,976 | 14,840 | $343K |
| D1208 | Topical application of fluoride, excluding varnish | 4.6% | 22,200 | 21,991 | $308K |
| D1110 | Prophylaxis - adult | 3.4% | 4,304 | 4,266 | $228K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.2% | 2,661 | 877 | $212K |
| D0274 | Bitewings - four radiographic images | 2.7% | 5,437 | 5,380 | $183K |
| D1351 | Sealant - per tooth | 2.6% | 6,813 | 1,744 | $176K |
| D7140 | Extraction, erupted tooth or exposed root | 2.4% | 2,952 | 1,582 | $163K |
14 more codes
| D9248 | 2.4% | 1,396 | $161K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 4,233 | $142K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 9,147 | $109K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 10,187 | $104K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.4% | 3,515 | $91K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 595 | $44K |
| D2330 | <1% | 549 | $39K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,145 | $39K |
| D9420 | <1% | 597 | $21K | |
| D2331 | <1% | 37 | $3K | |
| D2920 | <1% | 15 | $248.43 | |
| D0603 | 0% | 14,451 | $0.00 | |
| D0602 | 0% | 11,459 | $0.00 | |
| D0601 | 0% | 175 | $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 officialELLIS, ZACHARY (PEDIATRIC DENTIST)