Clinic
Sulphur Springs Children's Dentistry
Sulphur Springs Children's Dentistry was paid $9K by Medicaid between Jul 2023 and Oct 2024, across 9 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 24% of everything it billed.
33Billing provider infoSULPHUR SPRINGS CHILDREN'S DENTISTRY
SULPHUR SPRINGS, TX 75482
SULPHUR SPRINGS, TX 75482
33aNPI1043923337assigned 01/02/2023
33bProvider typeDental Clinic/Center
28Total paid$9K
24GClaims571
24DCodes billed9
24AFirst – last monthJul 2023 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#200 of 255
Median peer was paid$110K
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 | |
|---|---|---|---|
| 2023 | 241 | $4K | |
| 2024incomplete | 330 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 24% | 75 | 66 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 69 | 64 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 18% | 132 | 124 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 97 | 89 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 10% | 94 | 74 | $966.84 |
| D0272 | Bitewings - two radiographic images | 9.8% | 45 | 41 | $909.24 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.2% | 12 | 12 | $298.21 |
| D0601 | 0% | 31 | 31 | $0.00 | |
| D0602 | 0% | 16 | 13 | $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 officialVACULIK, BENNETT (MANAGING PARTNER)