Dental
Valley Square Dental, PLLC
Valley Square Dental, PLLC was paid $229K by Medicaid between Nov 2023 and Dec 2024, across 16 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 24% of everything it billed.
33Billing provider infoVALLEY SQUARE DENTAL, PLLC
LEWISVILLE, TX 75067
LEWISVILLE, TX 75067
33aNPI1013608694assigned 05/16/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$229K
24GClaims7,382
24DCodes billed16
24AFirst – last monthNov 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#777 of 2,774
Median peer was paid$43K
This provider vs. median5.4×
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 | |
|---|---|---|---|
| 2023 | 574 | $14K | |
| 2024incomplete | 6,808 | $216K |
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 | 24% | 411 | 402 | $55K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 423 | 164 | $41K |
| D1351 | Sealant - per tooth | 14% | 1,182 | 250 | $32K |
| D0210 | Intraoral - complete series of radiographic images | 9.9% | 341 | 326 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.6% | 513 | 494 | $17K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.5% | 384 | 376 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.2% | 1,121 | 287 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 110 | 66 | $9K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.2% | 294 | 266 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 3.0% | 519 | 503 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.8% | 152 | 148 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 330 | 322 | $4K |
4 more codes
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 officialBACON, JASON (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Jae Dental PLLC | Irving, TX | $3.26M |
| J. Troy Bacon Dentistry, PLLC | Fort Worth, TX | $1.72M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.