Clinic
Iesous Dental PLLC
Iesous Dental PLLC was paid $115K by Medicaid between Sep 2023 and Dec 2024, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 35% of everything it billed.
33Billing provider infoIESOUS DENTAL PLLC
HOUSTON, TX 77083
HOUSTON, TX 77083
33aNPI1154044162assigned 09/23/2022
33bProvider typeClinic/Center
28Total paid$115K
24GClaims3,121
24DCodes billed12
24AFirst – last monthSep 2023 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Texas
Rank by total paid#71 of 176
Median peer was paid$26K
This provider vs. median4.3×
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 | |
|---|---|---|---|
| 2023 | 1,071 | $47K | |
| 2024incomplete | 2,050 | $68K |
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 | 35% | 404 | 147 | $40K |
| D0210 | Intraoral - complete series of radiographic images | 12% | 229 | 227 | $14K |
| D1351 | Sealant - per tooth | 11% | 491 | 142 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 10.0% | 325 | 321 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.5% | 129 | 49 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.0% | 229 | 227 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 6.0% | 487 | 481 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.1% | 209 | 207 | $6K |
| D0272 | Bitewings - two radiographic images | 3.5% | 181 | 179 | $4K |
| D1110 | Prophylaxis - adult | 2.5% | 54 | 54 | $3K |
| D0603 | 0% | 342 | 335 | $0.00 | |
| D0601 | 0% | 41 | 38 | $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 officialGRACIA, VERONICA (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Ghaidaa Dental PLLC | Houston, TX | $764K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.