Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Mesquite › NPI 1053769356
Dental

My Teeth Dental Orthodontics PLLC

My Teeth Dental Orthodontics PLLC was paid $22K by Medicaid between Mar 2021 and Oct 2024, across 9 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 24% of everything it billed.

33Billing provider infoMY TEETH DENTAL ORTHODONTICS PLLC
MESQUITE, TX 75150
33aNPI1053769356assigned 05/26/2016
28Total paid$22K
24GClaims2,065
24DCodes billed9
24AFirst – last monthMar 2021 – Oct 2024
Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#1,621 of 2,774
Median peer was paid$43K
This provider vs. median0.5×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2021296$3K
2022608$8K
2023859$9K
2024incomplete302$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0230 Intraoral - periapical each additional radiographic image 24% 512 231 $5K
D1208 Topical application of fluoride, excluding varnish 22% 404 388 $5K
D1351 Sealant - per tooth 14% 142 24 $3K
D0220 Intraoral - periapical first radiographic image 13% 274 262 $3K
D1120 Dental cleaning, childProphylaxis - child 9.8% 78 76 $2K
D0150 Comprehensive oral evaluation - new or established patient 9.1% 70 69 $2K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 6.8% 63 57 $2K
D0272 Bitewings - two radiographic images 1.1% 14 14 $257.18
D0603 0% 508 494 $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 officialFETOUH, OMAR (CEO)
Same official

Other billing entities under FETOUH, OMAR

Full network →
ProviderLocationPaid
Wish Dental PLLCNorth Richland Hills, TX$1.12M
Omar Fetouh, D.D.S., M.S., P.C.Saginaw, TX$673K
NRH Dental PLLCNorth Richland Hills, TX$578K
Denton Dental PLLCDenton, TX$525K
1ST Dental & OrthodonticsFort Worth, TX$103K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.