Dental
SC Military PLLC
SC Military PLLC was paid $8.04M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 25% of everything it billed.
33Billing provider infoSC MILITARY PLLC
SAN ANTONIO, TX 78221
SAN ANTONIO, TX 78221
33aNPI1013443001assigned 05/11/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$8.04M
24GClaims264,725
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#18 of 2,774
Median peer was paid$43K
This provider vs. median189×
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 | 127 | $2K | |
| 2019 | 68 | $205.80 | |
| 2020 | 6,559 | $206K | |
| 2021 | 63,525 | $1.91M | |
| 2022 | 66,126 | $2.11M | |
| 2023 | 67,858 | $2.00M | |
| 2024incomplete | 60,462 | $1.81M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 25% | 20,479 | 10,330 | $2.00M |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.6% | 9,971 | 5,705 | $770K |
| D0145 | Oral evaluation for a patient under three years of age | 9.5% | 5,484 | 5,448 | $767K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.4% | 21,325 | 21,145 | $760K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.8% | 25,102 | 24,862 | $710K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.6% | 47,220 | 20,161 | $529K |
| D1208 | Topical application of fluoride, excluding varnish | 4.9% | 27,507 | 27,250 | $393K |
| D0210 | Intraoral - complete series of radiographic images | 4.6% | 5,581 | 5,526 | $374K |
| D1351 | Sealant - per tooth | 4.5% | 13,256 | 4,064 | $359K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.4% | 13,501 | 13,278 | $353K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 21,602 | 21,373 | $264K |
| D1110 | Prophylaxis - adult | 3.1% | 4,667 | 4,610 | $246K |
11 more codes
| D0272 | Bitewings - two radiographic images | 1.9% | 6,684 | $153K |
| D0274 | Bitewings - four radiographic images | 1.7% | 3,987 | $135K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.1% | 607 | $88K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 714 | $69K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,247 | $43K |
| D2330 | <1% | 183 | $14K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 159 | $13K |
| D0140 | Limited oral evaluation - problem focused | <1% | 335 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 54 | $2K |
| D7111 | <1% | 26 | $298.22 | |
| D0603 | 0% | 35,034 | $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 officialMONSEF, PEYMAN (MANAGING MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Walzem Associates PLLC | Windcrest, TX | $5.16M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.