Dental
Le, Man
Le, Man was paid $43K by Medicaid between Dec 2020 and Oct 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 27% of everything it billed.
33Billing provider infoLE, MAN
MANSFIELD, TX 76063
MANSFIELD, TX 76063
33aNPI1033406681assigned 07/05/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$43K
24GClaims2,089
24DCodes billed10
24AFirst – last monthDec 2020 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,383 of 2,774
Median peer was paid$43K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2020 | 124 | $3K | |
| 2021 | 927 | $19K | |
| 2022 | 608 | $13K | |
| 2023 | 356 | $7K | |
| 2024incomplete | 74 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 400 | 400 | $12K |
| D1351 | Sealant - per tooth | 22% | 344 | 67 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 16% | 478 | 478 | $7K |
| D1110 | Prophylaxis - adult | 12% | 94 | 94 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 7.3% | 254 | 253 | $3K |
| D0274 | Bitewings - four radiographic images | 7.2% | 90 | 90 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.1% | 231 | 230 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.0% | 25 | 25 | $882.00 |
| D0601 | 0% | 26 | 26 | $0.00 | |
| D0603 | 0% | 147 | 147 | $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.