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

Fresh Dental-Longview

Fresh Dental-Longview was paid $414K 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 — 22% of everything it billed.

33Billing provider infoFRESH DENTAL-LONGVIEW
IRVING, TX 75039
33aNPI1083981641assigned 11/28/2011
33bProvider typeDentist
28Total paid$414K
24GClaims20,689
24DCodes billed19
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#367 of 1,678
Median peer was paid$35K
This provider vs. median12×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official PU, MARY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
2020541$9K
20215,025$97K
20226,263$132K
20235,518$111K
2024incomplete3,342$66K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 22% 1,002 382 $92K
D1110 Prophylaxis - adult 13% 1,126 1,084 $55K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 12% 1,945 1,880 $52K
D0230 Intraoral - periapical each additional radiographic image 11% 5,192 2,500 $47K
D1120 Dental cleaning, childProphylaxis - child 9.3% 1,164 1,118 $39K
D0274 Bitewings - four radiographic images 8.0% 1,252 1,196 $33K
D0220 Intraoral - periapical first radiographic image 6.9% 2,795 2,643 $29K
D1206 Topical application of fluoride varnish 6.5% 2,011 1,931 $27K
D0150 Comprehensive oral evaluation - new or established patient 2.9% 405 383 $12K
D0145 Oral evaluation for a patient under three years of age 2.5% 83 81 $10K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 2.3% 385 303 $9K
D0272 Bitewings - two radiographic images 1.4% 308 297 $6K
7 more codes
D0330 Panoramic radiographic image <1% 225 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 16 $1K
D1351 Sealant - per tooth <1% 48 $1K
D1208 Topical application of fluoride, excluding varnish <1% 18 $205.80
D0603 0% 2,687 $0.00
D0602 0% 14 $0.00
D0601 0% 13 $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 officialPU, MARY (VP OF FINANCE)
Same official

Other billing entities under PU, MARY

Full network →
ProviderLocationPaid
Red Rock Dental-FarmingtonIrving, TX$3.59M
Sage DentalBaytown, TX$2.35M
Peppermint Dental-Montgomery LLCAlbuquerque, NM$2.14M
Sage Dental-Deer Park PLLCLa Porte, TX$1.87M
Vinh Ngo Dentistry PLLCVictoria, TX$1.65M
Element Dental-Bryan PLLCBryan, TX$1.57M
Fusion DentalIrving, TX$1.49M
Element Dental-Conroe PLLCIrving, TX$1.49M
Gulfside Dental Port Arthur PLLCPort Arthur, TX$1.39M
Peppermint Dental-Rio Bravo LLCAlbuquerque, NM$1.29M
Fresh Dental-ShreveportIrving, TX$1.27M
Fresh Dental-Bossier CityIrving, TX$1.21M
Peppermint Dental-Sherman PLLCSherman, TX$1.17M
Element Dental PLLCLufkin, TX$1.06M
Rio Dental and Orthodontics LLCRio Rancho, NM$1.00M
Element Dental-Humble PLLCHumble, TX$942K
Gulfside DentalBeaumont, TX$939K
Legend Dental-GeorgetownGeorgetown, TX$919K
Bliss Dental PLLCOdessa, TX$827K
Bliss Dental Lubbock PLLCLubbock, TX$826K

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