Dental
Fresh Dental PLLC
Fresh Dental PLLC was paid $263K by Medicaid between Nov 2020 and Oct 2024, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.
33Billing provider infoFRESH DENTAL PLLC
TYLER, TX 75704
TYLER, TX 75704
33aNPI1093000804assigned 06/09/2011
33bProvider typeDentist
28Total paid$263K
24GClaims15,953
24DCodes billed18
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#455 of 1,678
Median peer was paid$35K
This provider vs. median7.6×
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.
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
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 | 972 | $15K | |
| 2021 | 8,465 | $149K | |
| 2022 | 3,765 | $68K | |
| 2023 | 2,152 | $26K | |
| 2024incomplete | 599 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 19% | 1,137 | 1,038 | $51K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 1,713 | 1,588 | $42K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 1,127 | 1,063 | $35K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 3,404 | 1,841 | $30K |
| D0274 | Bitewings - four radiographic images | 11% | 1,128 | 1,033 | $29K |
| D1206 | Topical application of fluoride varnish | 9.3% | 1,928 | 1,795 | $25K |
| D0220 | Intraoral - periapical first radiographic image | 8.0% | 2,148 | 1,944 | $21K |
| D0145 | Oral evaluation for a patient under three years of age | 3.8% | 75 | 74 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.9% | 53 | 26 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 159 | 144 | $5K |
| D1351 | Sealant - per tooth | <1% | 131 | 27 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 130 | 127 | $2K |
6 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 officialPU, MARY (CFO)
| Provider | Location | Paid |
|---|---|---|
| Red Rock Dental-Farmington | Irving, TX | $3.59M |
| Sage Dental | Baytown, TX | $2.35M |
| Peppermint Dental-Montgomery LLC | Albuquerque, NM | $2.14M |
| Sage Dental-Deer Park PLLC | La Porte, TX | $1.87M |
| Vinh Ngo Dentistry PLLC | Victoria, TX | $1.65M |
| Element Dental-Bryan PLLC | Bryan, TX | $1.57M |
| Fusion Dental | Irving, TX | $1.49M |
| Element Dental-Conroe PLLC | Irving, TX | $1.49M |
| Gulfside Dental Port Arthur PLLC | Port Arthur, TX | $1.39M |
| Peppermint Dental-Rio Bravo LLC | Albuquerque, NM | $1.29M |
| Fresh Dental-Shreveport | Irving, TX | $1.27M |
| Fresh Dental-Bossier City | Irving, TX | $1.21M |
| Peppermint Dental-Sherman PLLC | Sherman, TX | $1.17M |
| Element Dental PLLC | Lufkin, TX | $1.06M |
| Rio Dental and Orthodontics LLC | Rio Rancho, NM | $1.00M |
| Element Dental-Humble PLLC | Humble, TX | $942K |
| Gulfside Dental | Beaumont, TX | $939K |
| Legend Dental-Georgetown | Georgetown, TX | $919K |
| Bliss Dental PLLC | Odessa, TX | $827K |
| Bliss Dental Lubbock PLLC | Lubbock, TX | $826K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.