Dental
The Tooth Place, P.A.
The Tooth Place, P.A. was paid $4.33M by Medicaid between Jul 2018 and Dec 2024, across 28 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.
33Billing provider infoTHE TOOTH PLACE, P.A.
BROWNSVILLE, TX 78526
BROWNSVILLE, TX 78526
33aNPI1144384785assigned 12/20/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$4.33M
24GClaims195,507
24DCodes billed28
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#72 of 2,774
Median peer was paid$43K
This provider vs. median101×
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 | |
|---|---|---|---|
| 2018 | 39 | $502.28 | |
| 2019 | 29 | $218.05 | |
| 2020 | 6,168 | $119K | |
| 2021 | 49,725 | $1.03M | |
| 2022 | 55,835 | $1.25M | |
| 2023 | 48,836 | $1.13M | |
| 2024incomplete | 34,875 | $795K |
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 | 16% | 7,977 | 4,145 | $701K |
| D0145 | Oral evaluation for a patient under three years of age | 11% | 3,483 | 3,420 | $477K |
| D1351 | Sealant - per tooth | 8.8% | 15,544 | 3,873 | $383K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.7% | 13,909 | 13,291 | $375K |
| D1110 | Prophylaxis - adult | 8.4% | 7,122 | 6,843 | $363K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.0% | 10,176 | 9,709 | $347K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.1% | 4,700 | 2,575 | $306K |
| D0274 | Bitewings - four radiographic images | 6.5% | 9,661 | 9,221 | $281K |
| D1208 | Topical application of fluoride, excluding varnish | 5.4% | 16,938 | 16,273 | $233K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.2% | 17,408 | 12,036 | $182K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 13,808 | 13,089 | $159K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 3,695 | 3,518 | $118K |
16 more codes
| D0272 | Bitewings - two radiographic images | 2.6% | 5,683 | $114K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.0% | 3,599 | $86K |
| D0330 | Panoramic radiographic image | 1.9% | 3,093 | $80K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 399 | $37K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 503 | $33K |
| D1330 | <1% | 8,584 | $32K | |
| D0350 | <1% | 3,259 | $16K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 148 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 43 | $2K |
| D0170 | <1% | 103 | $2K | |
| D9215 | <1% | 6,002 | $194.78 | |
| D9910 | <1% | 220 | $119.40 | |
| D0603 | <1% | 20,520 | $0.01 | |
| D1999 | 0% | 18,186 | $0.00 | |
| D0602 | 0% | 488 | $0.00 | |
| D0601 | 0% | 256 | $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 officialMARTINEZ, SHELLY (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Tooth Place Psja, PLLC | San Juan, TX | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.