Dental
Wallisville Dental Associates, PA
Wallisville Dental Associates, PA was paid $1.89M by Medicaid between Jul 2019 and Dec 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoWALLISVILLE DENTAL ASSOCIATES, PA
HOUSTON, TX 77049
HOUSTON, TX 77049
33aNPI1083816458assigned 06/05/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$1.89M
24GClaims71,956
24DCodes billed19
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#186 of 2,774
Median peer was paid$43K
This provider vs. median44×
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 | |
|---|---|---|---|
| 2019 | 78 | $1K | |
| 2020 | 2,138 | $63K | |
| 2021 | 18,363 | $486K | |
| 2022 | 19,310 | $514K | |
| 2023 | 17,783 | $472K | |
| 2024incomplete | 14,284 | $354K |
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 | 18% | 3,972 | 2,149 | $345K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 8,071 | 8,017 | $228K |
| D1110 | Prophylaxis - adult | 11% | 3,759 | 3,735 | $202K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 2,840 | 1,603 | $201K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.8% | 4,609 | 4,573 | $167K |
| D0274 | Bitewings - four radiographic images | 6.8% | 3,913 | 3,882 | $128K |
| D1208 | Topical application of fluoride, excluding varnish | 6.5% | 8,519 | 8,457 | $124K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 8,671 | 8,593 | $104K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.0% | 8,656 | 8,574 | $95K |
| D0272 | Bitewings - two radiographic images | 4.7% | 3,932 | 3,905 | $88K |
| D0145 | Oral evaluation for a patient under three years of age | 4.6% | 639 | 630 | $88K |
| D1351 | Sealant - per tooth | 3.6% | 2,731 | 668 | $68K |
7 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.1% | 1,540 | $40K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 67 | $4K |
| D0330 | Panoramic radiographic image | <1% | 363 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 31 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 30 | $544.62 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 13 | $455.63 |
| D0603 | 0% | 9,600 | $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 officialNGUYEN, PHUONG (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Devereux & Nguyen Gulfport PLLC | Gulfport, MS | $69K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.