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Discover Why We're Austin's #1 Choice for Pediatric Dental Care
- Steiner Ranch's Luxury Pediatric Dentistry
- Calm, Comfortable, Reassuring
- Board‑Certified Pediatric Experts
Your Team led By Dr. Alex Otto
Meet Dr. Alexandra Otto
As both a board-certified pediatric dentist and a mom of two young children, Dr. Alex Otto understands what families need from a dental home. She founded her practices with a clear purpose: to provide pediatric dental care that is preventive, evidence-based, and centered on the child rather than insurance or sales-driven treatment.
Early in her career, Dr. Alex saw how often families felt rushed, confused, or pressured during dental visits. Parents waited too long, received limited explanations, or were told there was only one way forward. Dr. Alex knew families deserved better.
At Steiner Ranch Pediatric Dentistry, every recommendation is proactive, supported by science, and tailored to your child’s unique needs. Dr. Alex takes time to explain options clearly, respects parental instincts, and ensures treatment is never more than necessary. Her approach blends advanced technology, cosmetic-focused pediatric dentistry, and a calm, reassuring presence that helps children feel safe and confident.
Whether she is placing a zirconia crown, performing a laser frenectomy, helping a nervous child relax with nitrous, or walking a parent through treatment decisions, Dr. Alex’s mission remains the same: to serve families with honesty, safety, and heart.

Get to Know
Dr. Kaitlin Gillham, DDS
Board-Eligible Pediatric Dentist
Dr. Kaitlin is originally from California, where she earned her Doctor of Dental Surgery degree from UCLA School of Dentistry. After dental school, Dr. Gillham then moved to the great state of Texas and completed her residency training in pediatric dentistry at Texas A&M University in Dallas.
Dr. Kaitlin is a compassionate and dedicated oral health care provider who loves working with children! She is committed to educating patients and delivering high-quality patient care. She enjoys working with children of all ages and hopes to bring a smile to every child she sees.
Outside of the office, Dr. Kaitlin enjoys traveling, trying new restaurants and coffee shops, reading, and staying active.
Get to Know
Dr. Britta Machuca
Board Certified Pediatric Dentist
Dr. Britta Machuca was born and raised in San Antonio and also attended dental school at UT Health San Antonio. She’s a big Spurs fan! After practicing as a general dentist in Brownsville, TX she went on to pursue her 2 year training in pediatric dentistry at UT Health San Antonio at the Laredo Campus.
Dr. Britta is dedicated to building healthy foundations for your child’s oral health. She enjoys creating a safe and comfortable space during your child’s dental visit.
Outside of the office, she loves going to local coffee shops with her husband, Michael, riding her bike around Lady Bird Lake, watching Spurs games, and cross stitching.

Imagine...
A visit your child looks forward to
Care that accommodates your child’s unique needs
Minimally invasive treatments that protect your child's smile
Treatments for Growing Smiles



Insurance Made Simple
We believe dental care should feel clear and stress-free, especially when it comes to insurance. Steiner Ranch Pediatric Dentistry is a fee-for-service practice that works with most PPO insurance plans.
Our team is happy to help you understand your benefits, review estimated costs, and answer questions before your visit. While we do not accept Medicaid, we are committed to transparency and helping families feel confident in their care decisions.
If you have questions about your coverage or our approach, give us a call. We are always happy to help.
Benefits of Fee for Service
Our fee-for-service model allows us to focus on what matters most: providing high-quality, personalized care based on your child’s needs rather than insurance limitations.
This approach gives families greater freedom to choose care based on trust, experience, and long-term outcomes. Treatment recommendations are guided by clinical expertise and your family’s goals, not network restrictions.

Freedom of Choice
This model also gives families more freedom to choose a provider based on quality, trust, and experience — not just an insurance list. You can make decisions based on what’s best for your child’s health, not what’s covered by a network.
Your Child's First Visit Experience
Ready to Book Your Child's Visit?
Their best smile starts here. Let’s make it a great experience.