Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Legend Dental PLLC

Legend Dental PLLC was paid $56K by Medicaid between Jan 2021 and Nov 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 28% of everything it billed.

33Billing provider infoLEGEND DENTAL PLLC
AUSTIN, TX 78757
33aNPI1003111006assigned 01/21/2011
33bProvider typeDentist
28Total paid$56K
24GClaims4,157
24DCodes billed10
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#737 of 1,678
Median peer was paid$35K
This provider vs. median1.6×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official PU, MARY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
20211,073$17K
20221,299$18K
20231,449$18K
2024incomplete336$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 28% 607 578 $16K
D1206 Topical application of fluoride varnish 14% 613 582 $8K
D0220 Intraoral - periapical first radiographic image 13% 709 674 $7K
D0230 Intraoral - periapical each additional radiographic image 13% 781 612 $7K
D1120 Dental cleaning, childProphylaxis - child 11% 203 196 $6K
D1110 Prophylaxis - adult 8.4% 96 93 $5K
D0274 Bitewings - four radiographic images 7.2% 140 137 $4K
D1208 Topical application of fluoride, excluding varnish 4.6% 188 186 $3K
D0602 0% 44 43 $0.00
D0603 0% 776 738 $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 officialPU, MARY (CFO)
Same official

Other billing entities under PU, MARY

Full network →
ProviderLocationPaid
Red Rock Dental-FarmingtonIrving, TX$3.59M
Sage DentalBaytown, TX$2.35M
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Sage Dental-Deer Park PLLCLa Porte, TX$1.87M
Vinh Ngo Dentistry PLLCVictoria, TX$1.65M
Element Dental-Bryan PLLCBryan, TX$1.57M
Fusion DentalIrving, TX$1.49M
Element Dental-Conroe PLLCIrving, TX$1.49M
Gulfside Dental Port Arthur PLLCPort Arthur, TX$1.39M
Peppermint Dental-Rio Bravo LLCAlbuquerque, NM$1.29M
Fresh Dental-ShreveportIrving, TX$1.27M
Fresh Dental-Bossier CityIrving, TX$1.21M
Peppermint Dental-Sherman PLLCSherman, TX$1.17M
Element Dental PLLCLufkin, TX$1.06M
Rio Dental and Orthodontics LLCRio Rancho, NM$1.00M
Element Dental-Humble PLLCHumble, TX$942K
Gulfside DentalBeaumont, TX$939K
Legend Dental-GeorgetownGeorgetown, TX$919K
Bliss Dental PLLCOdessa, TX$827K
Bliss Dental Lubbock PLLCLubbock, TX$826K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.