Dental
College Station Dentistry and Orthodontics PLLC
College Station Dentistry and Orthodontics PLLC was paid $67K by Medicaid between Nov 2020 and Dec 2021, across 16 billing codes. Its largest line is D0120, dental checkup, returning patient — 16% of everything it billed.
33Billing provider infoCOLLEGE STATION DENTISTRY AND ORTHODONTICS PLLC
COLLEGE STATION, TX 77845
COLLEGE STATION, TX 77845
33aNPI1083117907assigned 03/16/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$67K
24GClaims4,038
24DCodes billed16
24AFirst – last monthNov 2020 – Dec 2021
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,231 of 2,774
Median peer was paid$43K
This provider vs. median1.6×
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
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 | 480 | $7K | |
| 2021 | 3,558 | $60K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 399 | 386 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 13% | 933 | 612 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 236 | 218 | $8K |
| D0145 | Oral evaluation for a patient under three years of age | 10% | 56 | 53 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 10% | 681 | 646 | $7K |
| D1110 | Prophylaxis - adult | 9.5% | 143 | 137 | $6K |
| D0274 | Bitewings - four radiographic images | 7.9% | 211 | 201 | $5K |
| D1206 | Topical application of fluoride varnish | 7.9% | 416 | 391 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 125 | 105 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 4.0% | 203 | 194 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.6% | 22 | 12 | $2K |
| D0330 | Panoramic radiographic image | 1.7% | 58 | 54 | $1K |
4 more codes
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 officialGARCIA, JENNY (SR TEAM LEAD)
| Provider | Location | Paid |
|---|---|---|
| Spearmint Kids and Orthodontics PLLC | Wichita Falls, TX | $562K |
| South Tyler Family Dentistry PLLC | Tyler, TX | $34K |
| Marketside Street Dental LLC | Buckeye, AZ | $28K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.