Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

King Smiles II, P.A.

King Smiles II, P.A. was paid $155K by Medicaid between May 2018 and Mar 2021, across 17 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 17% of everything it billed.

33Billing provider infoKING SMILES II, P.A.
LAKEWAY, TX 78734
33aNPI1063690378assigned 02/08/2008
28Total paid$155K
24GClaims6,497
24DCodes billed17
24AFirst – last monthMay 2018 – Mar 2021
Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#908 of 2,774
Median peer was paid$43K
This provider vs. median3.6×

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$20K$40K$60K2018201920202021202220232024
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
201853$489.31
20202,064$43K
20214,380$111K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 17% 189 67 $27K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 14% 796 790 $22K
D1120 Dental cleaning, childProphylaxis - child 12% 537 531 $19K
D1110 Prophylaxis - adult 9.1% 270 270 $14K
D0272 Bitewings - two radiographic images 7.8% 525 519 $12K
D1208 Topical application of fluoride, excluding varnish 7.8% 840 834 $12K
D0220 Intraoral - periapical first radiographic image 7.5% 945 935 $12K
D0230 Intraoral - periapical each additional radiographic image 6.6% 902 895 $10K
D0274 Bitewings - four radiographic images 5.8% 268 268 $9K
D0145 Oral evaluation for a patient under three years of age 4.0% 45 45 $6K
D1351 Sealant - per tooth 2.2% 134 27 $3K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 1.6% 30 16 $3K
5 more codes
D9248 1.4% 18 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.3% 26 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 36 $921.74
D0603 0% 753 $0.00
D0602 0% 183 $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 officialPOWERS, JULIAN (INSURANCE COORD.)