Dental
Specialty Dental Management LLC
Specialty Dental Management LLC was paid $819K by Medicaid between Sep 2022 and Oct 2023, across 22 billing codes. Its largest line is D1351, Sealant - per tooth — 11% of everything it billed.
33Billing provider infoSPECIALTY DENTAL MANAGEMENT LLC
SUNSET VALLEY, TX 78745
SUNSET VALLEY, TX 78745
33aNPI1073260451assigned 03/07/2022
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$819K
24GClaims32,773
24DCodes billed22
24AFirst – last monthSep 2022 – Oct 2023
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Texas
Rank by total paid#12 of 87
Median peer was paid$54K
This provider vs. median15×
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 | 8,033 | $234K | |
| 2023 | 24,740 | $584K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 11% | 3,524 | 758 | $89K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.4% | 2,821 | 2,733 | $77K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.5% | 518 | 185 | $70K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.4% | 6,424 | 2,835 | $69K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.3% | 1,973 | 1,912 | $68K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.5% | 658 | 362 | $61K |
| D0145 | Oral evaluation for a patient under three years of age | 7.4% | 439 | 432 | $60K |
| D1110 | Prophylaxis - adult | 6.2% | 981 | 953 | $51K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.1% | 575 | 350 | $42K |
| D1208 | Topical application of fluoride, excluding varnish | 5.0% | 2,947 | 2,852 | $41K |
| D0220 | Intraoral - periapical first radiographic image | 4.5% | 3,100 | 2,981 | $37K |
| D0274 | Bitewings - four radiographic images | 4.1% | 1,022 | 991 | $34K |
10 more codes
| D0350 | 4.0% | 1,909 | $33K | |
| D9248 | 2.6% | 195 | $22K | |
| D0272 | Bitewings - two radiographic images | 2.1% | 755 | $17K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.7% | 536 | $14K |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 249 | $14K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.3% | 147 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 222 | $7K |
| D2332 | <1% | 18 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 69 | $1K |
| D0603 | 0% | 3,691 | $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 officialUSDAN, JIM (CEO)