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

Sycamore School Dental, PLLC

Sycamore School Dental, PLLC was paid $39K by Medicaid between Sep 2023 and Dec 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 39% of everything it billed.

33Billing provider infoSYCAMORE SCHOOL DENTAL, PLLC
FORT WORTH, TX 76133
33aNPI1083310197assigned 02/01/2023
33bProvider typeDentist
28Total paid$39K
24GClaims1,602
24DCodes billed15
24AFirst – last monthSep 2023 – Dec 2024
Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#818 of 1,678
Median peer was paid$35K
This provider vs. median1.1×

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$5.0K$10K$15K2018201920202021202220232024
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
20231,091$31K
2024incomplete511$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 39% 178 44 $15K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 9.2% 148 144 $4K
D1120 Dental cleaning, childProphylaxis - child 8.8% 114 110 $3K
D1208 Topical application of fluoride, excluding varnish 6.9% 212 209 $3K
D0274 Bitewings - four radiographic images 6.4% 96 93 $2K
D1110 Prophylaxis - adult 6.2% 53 53 $2K
D0220 Intraoral - periapical first radiographic image 4.8% 174 167 $2K
D0230 Intraoral - periapical each additional radiographic image 4.5% 179 160 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 4.2% 68 64 $2K
D1351 Sealant - per tooth 3.0% 52 15 $1K
D7140 Extraction, erupted tooth or exposed root 3.0% 29 16 $1K
D0210 Intraoral - complete series of radiographic images 2.0% 13 13 $777.04
3 more codes
D0150 Comprehensive oral evaluation - new or established patient 2.0% 29 $773.51
D0603 <1% 168 $0.03
D0602 0% 89 $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 officialCHO, IHNBAE (DENTIST)
Same official

Other billing entities under CHO, IHNBAE

Full network →
ProviderLocationPaid
Dental Choice 2 PLLCFort Worth, TX$1.46M
Dental Columbia, PLLCDallas, TX$1.38M
Mesquite Dental PLLCMesquite, TX$575K
Irving Dental PLLCIrving, TX$387K
Oakcliff Dental PLLCDallas, TX$274K
Alliance Dental PLLCFort Worth, TX$256K
Sherman Dental PLLCSherman, TX$217K
Lakeworth Dental PLLCLake Worth, TX$77K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.