Clinic
Special Smiles Dental and Orthodontics
Special Smiles Dental and Orthodontics was paid $83K by Medicaid between Apr 2022 and Dec 2024, across 16 billing codes. Its largest line is D1351, Sealant - per tooth — 25% of everything it billed.
33Billing provider infoSPECIAL SMILES DENTAL AND ORTHODONTICS
MANVEL, TX 77578
MANVEL, TX 77578
33aNPI1043895980assigned 03/12/2021
33bProvider typeDental Clinic/Center
28Total paid$83K
24GClaims5,111
24DCodes billed16
24AFirst – last monthApr 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#136 of 255
Median peer was paid$110K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2022 | 1,261 | $10K | |
| 2023 | 2,242 | $46K | |
| 2024incomplete | 1,608 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 25% | 1,161 | 164 | $21K |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 525 | 499 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 415 | 368 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 664 | 630 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.2% | 274 | 271 | $8K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.2% | 101 | 15 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 321 | 269 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 336 | 190 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.0% | 125 | 106 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | 2.1% | 12 | 12 | $2K |
| D0272 | Bitewings - two radiographic images | 1.9% | 83 | 76 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 1.7% | 27 | 27 | $1K |
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 officialAL AZZAWI, MOHAMMED (MEMBER)