Dental
Affordable Dentist Near Me Grand Prairie, PLLC
Affordable Dentist Near Me Grand Prairie, PLLC was paid $683.85 by Medicaid between Feb 2024 and Oct 2024, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoAFFORDABLE DENTIST NEAR ME GRAND PRAIRIE, PLLC
GRAND PRAIRIE, TX 75052
GRAND PRAIRIE, TX 75052
33aNPI1134737919assigned 07/17/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$683.85
24GClaims107
24DCodes billed2
24AFirst – last monthFeb 2024 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#2,473 of 2,774
Median peer was paid$43K
This provider vs. median0.0×
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 | 107 | $683.85 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 100% | 24 | 24 | $683.85 |
| D0603 | 0% | 83 | 76 | $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 officialBARTOLOMEI, NINA (MANAGER)