Dental
Mai Vantage Dental PLLC
Mai Vantage Dental PLLC was paid $524K by Medicaid between Nov 2020 and Nov 2024, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoMAI VANTAGE DENTAL PLLC
TOMBALL, TX 77375
TOMBALL, TX 77375
33aNPI1053835488assigned 07/27/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$524K
24GClaims24,800
24DCodes billed18
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#514 of 2,774
Median peer was paid$43K
This provider vs. median12×
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 | 786 | $17K | |
| 2021 | 9,430 | $197K | |
| 2022 | 8,981 | $176K | |
| 2023 | 5,498 | $133K | |
| 2024incomplete | 105 | $612.85 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 1,178 | 520 | $93K |
| D1351 | Sealant - per tooth | 12% | 2,552 | 561 | $61K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 2,044 | 1,873 | $51K |
| D1110 | Prophylaxis - adult | 8.6% | 975 | 906 | $45K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.6% | 1,550 | 1,389 | $45K |
| D0145 | Oral evaluation for a patient under three years of age | 8.2% | 363 | 344 | $43K |
| D1208 | Topical application of fluoride, excluding varnish | 6.2% | 2,566 | 2,336 | $32K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.7% | 441 | 256 | $30K |
| D0272 | Bitewings - two radiographic images | 5.7% | 1,540 | 1,406 | $30K |
| D0220 | Intraoral - periapical first radiographic image | 4.6% | 2,885 | 2,443 | $24K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.9% | 2,909 | 2,221 | $21K |
| D0274 | Bitewings - four radiographic images | 3.2% | 888 | 761 | $17K |
6 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 536 | $15K |
| D0330 | Panoramic radiographic image | 1.7% | 461 | $9K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.4% | 316 | $7K |
| D0140 | Limited oral evaluation - problem focused | <1% | 80 | $1K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | $847.68 |
| D0603 | 0% | 3,504 | $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 officialMAI, JENNIFER (OWNER)