Dental
Wonder Smiles PLLC
Wonder Smiles PLLC was paid $1.42M by Medicaid between Nov 2020 and Dec 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoWONDER SMILES PLLC
BEEVILLE, TX 78102
BEEVILLE, TX 78102
33aNPI1083025126assigned 05/12/2014
33bProvider typeDentist
28Total paid$1.42M
24GClaims54,744
24DCodes billed19
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#145 of 1,678
Median peer was paid$35K
This provider vs. median41×
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 | 1,195 | $29K | |
| 2021 | 11,416 | $304K | |
| 2022 | 15,147 | $397K | |
| 2023 | 15,537 | $408K | |
| 2024incomplete | 11,449 | $281K |
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 | 21% | 3,069 | 1,406 | $294K |
| D1351 | Sealant - per tooth | 14% | 7,247 | 1,529 | $192K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 5,466 | 5,368 | $151K |
| D0145 | Oral evaluation for a patient under three years of age | 9.8% | 1,012 | 1,006 | $140K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.7% | 3,889 | 3,852 | $138K |
| D1110 | Prophylaxis - adult | 6.8% | 1,865 | 1,832 | $97K |
| D0274 | Bitewings - four radiographic images | 6.5% | 2,874 | 2,812 | $93K |
| D0220 | Intraoral - periapical first radiographic image | 5.7% | 6,826 | 6,678 | $81K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.1% | 6,767 | 5,995 | $73K |
| D1208 | Topical application of fluoride, excluding varnish | 3.7% | 3,697 | 3,657 | $53K |
| D1206 | Topical application of fluoride varnish | 2.2% | 2,240 | 2,211 | $32K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 266 | 167 | $21K |
7 more codes
| D0272 | Bitewings - two radiographic images | 1.4% | 882 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 526 | $18K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.0% | 568 | $15K |
| D0140 | Limited oral evaluation - problem focused | <1% | 141 | $3K |
| D0603 | <1% | 5,688 | $539.21 | |
| D0602 | 0% | 1,703 | $0.00 | |
| D0601 | 0% | 18 | $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 officialPATEL, TEJSH (DIRECTOR)