Dental
Modern Dental
Modern Dental was paid $14K by Medicaid between Dec 2020 and Feb 2024, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 19% of everything it billed.
33Billing provider infoMODERN DENTAL
EL CAMPO, TX 77437
EL CAMPO, TX 77437
33aNPI1114586161assigned 06/12/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$14K
24GClaims1,231
24DCodes billed8
24AFirst – last monthDec 2020 – Feb 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,765 of 2,774
Median peer was paid$43K
This provider vs. median0.3×
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 | 12 | $0.00 | |
| 2021 | 311 | $3K | |
| 2022 | 634 | $8K | |
| 2023 | 262 | $3K | |
| 2024incomplete | 12 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 96 | 96 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 19% | 256 | 179 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 18% | 176 | 176 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 16% | 193 | 192 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | 11% | 13 | 13 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.5% | 38 | 38 | $1K |
| D0272 | Bitewings - two radiographic images | 8.0% | 51 | 51 | $1K |
| D0603 | 0% | 408 | 407 | $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 officialKAHLON, GAGANDEEP (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Smile Profile Dental of Texas PLLC | Katy, TX | $99K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.