Dental
Signature Smiles of Bastrop
Signature Smiles of Bastrop was paid $2.07M by Medicaid between Mar 2018 and Dec 2024, across 22 billing codes. Its largest line is D1351, Sealant - per tooth — 15% of everything it billed.
33Billing provider infoSIGNATURE SMILES OF BASTROP
BASTROP, TX 78602
BASTROP, TX 78602
33aNPI1093954521assigned 02/06/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$2.07M
24GClaims92,051
24DCodes billed22
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#170 of 2,774
Median peer was paid$43K
This provider vs. median48×
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 | |
|---|---|---|---|
| 2018 | 49 | $826.14 | |
| 2020 | 3,195 | $70K | |
| 2021 | 21,064 | $459K | |
| 2022 | 21,936 | $483K | |
| 2023 | 24,450 | $551K | |
| 2024incomplete | 21,357 | $504K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 15% | 11,332 | 2,397 | $300K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 8,958 | 8,811 | $248K |
| D1110 | Prophylaxis - adult | 11% | 4,570 | 4,499 | $236K |
| D0145 | Oral evaluation for a patient under three years of age | 11% | 1,630 | 1,603 | $223K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.8% | 5,755 | 5,641 | $202K |
| D0274 | Bitewings - four radiographic images | 7.1% | 5,154 | 5,075 | $146K |
| D1208 | Topical application of fluoride, excluding varnish | 6.9% | 10,162 | 9,991 | $143K |
| D0220 | Intraoral - periapical first radiographic image | 5.6% | 11,017 | 10,795 | $117K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.8% | 10,381 | 10,174 | $100K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.6% | 1,007 | 669 | $94K |
| D0272 | Bitewings - two radiographic images | 4.3% | 4,257 | 4,184 | $88K |
| D0210 | Intraoral - complete series of radiographic images | 2.6% | 797 | 797 | $54K |
10 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 1,477 | $49K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.0% | 294 | $22K |
| D0330 | Panoramic radiographic image | <1% | 2,080 | $21K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 712 | $19K |
| D0140 | Limited oral evaluation - problem focused | <1% | 240 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 58 | $748.23 |
| D0270 | <1% | 50 | $220.01 | |
| D0602 | <1% | 8,588 | $0.35 | |
| D0601 | <1% | 100 | $0.11 | |
| D0603 | <1% | 3,432 | $0.06 |
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 officialCALDWELL, RONALD (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Planet Smile Dental Centers, PLLC | Pflugerville, TX | $657K |
| Signature Smiles, P.A., | Austin, TX | $191.10 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.