Dental
Cleveland Dental PLLC
Cleveland Dental PLLC was paid $6K by Medicaid between Dec 2024 and Dec 2024, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 25% of everything it billed.
33Billing provider infoCLEVELAND DENTAL PLLC
CLEVELAND, TX 77327
CLEVELAND, TX 77327
33aNPI1124869342assigned 06/03/2024
33bProvider typeDentist
28Total paid$6K
24GClaims316
24DCodes billed11
24AFirst – last monthDec 2024 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#1,191 of 1,678
Median peer was paid$35K
This provider vs. median0.2×
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 | 316 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 51 | 51 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 30 | 30 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 53 | 53 | $764.40 |
| D1110 | Prophylaxis - adult | 12% | 13 | 13 | $658.56 |
| D0220 | Intraoral - periapical first radiographic image | 9.5% | 44 | 44 | $540.08 |
| D0230 | Intraoral - periapical each additional radiographic image | 8.5% | 43 | 43 | $483.42 |
| D0272 | Bitewings - two radiographic images | 6.2% | 15 | 15 | $350.70 |
| D0274 | Bitewings - four radiographic images | 6.1% | 12 | 12 | $346.10 |
| D0602 | 0% | 28 | 28 | $0.00 | |
| D0603 | 0% | 14 | 14 | $0.00 | |
| D0601 | 0% | 13 | 13 | $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 officialORTEGA, LUIS (OWNER)