Dental
Smile Factory Pediatric Dentistry P.L.L.C
Smile Factory Pediatric Dentistry P.L.L.C was paid $3.60M by Medicaid between Aug 2018 and Dec 2024, across 28 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 14% of everything it billed.
33Billing provider infoSMILE FACTORY PEDIATRIC DENTISTRY P.L.L.C
EAGLE PASS, TX 78852
EAGLE PASS, TX 78852
33aNPI1154675973assigned 10/31/2012
33bProvider typePediatric Dentist
28Total paid$3.60M
24GClaims157,715
24DCodes billed28
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#54 of 693
Median peer was paid$252K
This provider vs. median14×
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 | 151 | $2K | |
| 2019 | 293 | $4K | |
| 2020 | 3,497 | $72K | |
| 2021 | 32,768 | $744K | |
| 2022 | 41,178 | $857K | |
| 2023 | 42,499 | $1.00M | |
| 2024incomplete | 37,329 | $916K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 14% | 56,439 | 11,490 | $507K |
| D0145 | Oral evaluation for a patient under three years of age | 13% | 3,326 | 3,235 | $454K |
| D1351 | Sealant - per tooth | 11% | 15,153 | 3,765 | $406K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.3% | 9,492 | 9,176 | $335K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.6% | 11,109 | 10,728 | $308K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.5% | 3,094 | 2,001 | $306K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.6% | 1,984 | 1,106 | $275K |
| D9248 | 7.4% | 2,445 | 2,301 | $268K | |
| D1208 | Topical application of fluoride, excluding varnish | 4.7% | 12,091 | 11,681 | $171K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 14,327 | 13,422 | $154K |
| D1110 | Prophylaxis - adult | 3.7% | 2,563 | 2,460 | $134K |
| D7140 | Extraction, erupted tooth or exposed root | 1.8% | 1,124 | 809 | $64K |
16 more codes
| D0272 | Bitewings - two radiographic images | 1.2% | 2,035 | $42K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 423 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 874 | $30K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 999 | $28K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 1,044 | $27K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,350 | $24K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 266 | $22K |
| D7111 | <1% | 402 | $5K | |
| D0330 | Panoramic radiographic image | <1% | 111 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 87 | $3K |
| D9630 | <1% | 62 | $256.02 | |
| D0350 | <1% | 37 | $110.28 | |
| D0270 | <1% | 17 | $63.70 | |
| D9986 | 0% | 1,290 | $0.00 | |
| D0603 | 0% | 15,503 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 68 | $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 officialESQUIVEL, ALEJANDRO (PEDIATRIC DENTIST)