Dental
Pasadena Dental Smile, PLLC
Pasadena Dental Smile, PLLC was paid $21K by Medicaid between Jan 2022 and Dec 2022, across 6 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 94% of everything it billed.
33Billing provider infoPASADENA DENTAL SMILE, PLLC
PASADENA, TX 77504
PASADENA, TX 77504
33aNPI1063920015assigned 01/11/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$21K
24GClaims416
24DCodes billed6
24AFirst – last monthJan 2022 – Dec 2022
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,641 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
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 | 416 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 94% | 145 | 141 | $20K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.1% | 13 | 12 | $441.00 |
| D1208 | Topical application of fluoride, excluding varnish | 1.7% | 26 | 25 | $367.50 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 40 | 25 | $310.77 |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 27 | 26 | $213.52 |
| D0601 | 0% | 165 | 160 | $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 officialPHAM, JAMES (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Vs-Hillcroft, LLC | Houston, TX | $326K |
| Mesa Acupuncture Incorporation | San Diego, CA | $100K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.