Dental
Prodigious Dental PC
Prodigious Dental PC was paid $48K by Medicaid between Sep 2020 and Oct 2024, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 30% of everything it billed.
33Billing provider infoPRODIGIOUS DENTAL PC
BURLESON, TX 76028
BURLESON, TX 76028
33aNPI1124593066assigned 10/08/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$48K
24GClaims2,128
24DCodes billed13
24AFirst – last monthSep 2020 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,344 of 2,774
Median peer was paid$43K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2020 | 124 | $2K | |
| 2021 | 590 | $11K | |
| 2022 | 659 | $19K | |
| 2023 | 501 | $9K | |
| 2024incomplete | 254 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 30% | 216 | 65 | $14K |
| D1110 | Prophylaxis - adult | 25% | 270 | 236 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 258 | 213 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.9% | 172 | 148 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 9.5% | 427 | 361 | $5K |
| D0274 | Bitewings - four radiographic images | 9.3% | 172 | 153 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.1% | 57 | 51 | $1K |
| D0272 | Bitewings - two radiographic images | 1.8% | 44 | 42 | $862.72 |
| D0330 | Panoramic radiographic image | <1% | 15 | 13 | $474.25 |
| D0602 | <1% | 348 | 327 | $71.00 | |
| D0601 | <1% | 32 | 30 | $5.00 | |
| D0603 | 0% | 103 | 88 | $0.00 |
1 more codes
| D1330 | 0% | 14 | $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 officialSOHI, ARSHDEEP (PRESIDENT)