Dental
Edinburg Dental, PLLC
Edinburg Dental, PLLC was paid $138K by Medicaid between Nov 2020 and Dec 2024, across 12 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 24% of everything it billed.
33Billing provider infoEDINBURG DENTAL, PLLC
SAN JUAN, TX 78589
SAN JUAN, TX 78589
33aNPI1104364165assigned 02/09/2017
33bProvider typePediatric Dentist
28Total paid$138K
24GClaims8,063
24DCodes billed12
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#411 of 693
Median peer was paid$252K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2020 | 136 | $2K | |
| 2021 | 1,805 | $32K | |
| 2022 | 3,266 | $61K | |
| 2023 | 1,848 | $29K | |
| 2024incomplete | 1,008 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 24% | 242 | 234 | $32K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 702 | 659 | $23K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 739 | 690 | $19K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 1,170 | 1,092 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.8% | 1,440 | 937 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 8.5% | 1,089 | 1,003 | $12K |
| D0272 | Bitewings - two radiographic images | 5.1% | 341 | 313 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.1% | 243 | 217 | $7K |
| D1110 | Prophylaxis - adult | 3.6% | 110 | 102 | $5K |
| D0274 | Bitewings - four radiographic images | 2.5% | 128 | 118 | $3K |
| D0350 | <1% | 13 | 13 | $202.18 | |
| D0603 | 0% | 1,846 | 1,768 | $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 officialGUZMAN, SERGIO (PEDIATRIC DENTIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Guzman Pediatric Dentistry | Mission, TX | $3.61M |
| Mcallen Family Dentistry PLLC | Mcallen, TX | $794K |
| Pharr Family Dentistry | Pharr, TX | $157K |
| Heroes Weslaco PLLC | Weslaco, TX | $99K |
| Nolana Dental, PLLC | Mcallen, TX | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.