Olmito Family Dentistry

Olmito Family Dentistry was paid $3K by Medicaid between Jan 2021 and Nov 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 50% of everything it billed.

33Billing provider infoOLMITO FAMILY DENTISTRY
OLMITO, TX 78575

33aNPI1154791846assigned 10/07/2015

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims204

24DCodes billed4

24AFirst – last monthJan 2021 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#2,209 of 2,774

Median peer was paid$43K

This provider vs. median0.1×

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
2021	81	$1K
2024incomplete	123	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	50%	55	53	$1K
D1208	Topical application of fluoride, excluding varnish	38%	97	87	$1K
D1120	Dental cleaning, childProphylaxis - child	12%	12	12	$356.49
D0602		<1%	40	37	$0.01

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 officialBRAUNTHAL, GONZALO (OWNER / GENERAL DENTIST)