Clinic
TH Dental PLLC
TH Dental PLLC was paid $6K by Medicaid between Aug 2024 and Oct 2024, across 9 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 30% of everything it billed.
33Billing provider infoTH DENTAL PLLC
BELTON, TX 76513
BELTON, TX 76513
33aNPI1093439291assigned 09/30/2022
33bProvider typeDental Clinic/Center
28Total paid$6K
24GClaims458
24DCodes billed9
24AFirst – last monthAug 2024 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#209 of 255
Median peer was paid$110K
This provider vs. median0.1×
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
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 | |
|---|---|---|---|
| 2024incomplete | 458 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 30% | 188 | 65 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 22% | 40 | 34 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 12% | 67 | 67 | $668.12 |
| D0274 | Bitewings - four radiographic images | 12% | 27 | 27 | $657.59 |
| D1120 | Dental cleaning, childProphylaxis - child | 7.3% | 12 | 12 | $404.25 |
| D1206 | Topical application of fluoride varnish | 6.9% | 28 | 27 | $382.20 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.6% | 14 | 13 | $368.20 |
| D1208 | Topical application of fluoride, excluding varnish | 3.2% | 12 | 12 | $176.40 |
| D0603 | <1% | 70 | 68 | $18.06 |
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 officialFERNANDEZ, CINTHIA (DIRECTOR OF OPERATIONS)
| Provider | Location | Paid |
|---|---|---|
| Jarrell Dental PLLC | Jarrell, TX | $22K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.