Dental
Dazzle Dental Care, PA
Dazzle Dental Care, PA was paid $3K by Medicaid between Jan 2021 and Apr 2021, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 50% of everything it billed.
33Billing provider infoDAZZLE DENTAL CARE, PA
FLOWER MOUND, TX 75028
FLOWER MOUND, TX 75028
33aNPI1043479066assigned 06/05/2008
33bProvider typeDentist
28Total paid$3K
24GClaims177
24DCodes billed4
24AFirst – last monthJan 2021 – Apr 2021
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#1,301 of 1,678
Median peer was paid$35K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2021 | 177 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 50% | 44 | 44 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 33% | 58 | 58 | $834.96 |
| D0274 | Bitewings - four radiographic images | 16% | 15 | 15 | $406.25 |
| D0603 | 0% | 60 | 60 | $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 officialNGUYEN, JOHNIE (PRESIDENT/ DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Daisy Dental P.C. | Hickory Creek, TX | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.