Dental
Main ST Dental PLLC
Main ST Dental PLLC was paid $1.34M by Medicaid between Oct 2020 and Dec 2024, across 22 billing codes. Its largest line is D1110, Prophylaxis - adult — 14% of everything it billed.
33Billing provider infoMAIN ST DENTAL PLLC
ALTON, TX 78573
ALTON, TX 78573
33aNPI1164089645assigned 05/21/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$1.34M
24GClaims56,106
24DCodes billed22
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#254 of 2,774
Median peer was paid$43K
This provider vs. median31×
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 | |
|---|---|---|---|
| 2020 | 1,733 | $38K | |
| 2021 | 17,338 | $412K | |
| 2022 | 17,419 | $433K | |
| 2023 | 10,347 | $258K | |
| 2024incomplete | 9,269 | $201K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 14% | 3,663 | 3,562 | $192K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 6,949 | 6,742 | $191K |
| D0145 | Oral evaluation for a patient under three years of age | 10% | 1,009 | 986 | $139K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 1,448 | 735 | $139K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.0% | 3,455 | 3,366 | $121K |
| D0274 | Bitewings - four radiographic images | 8.6% | 3,640 | 3,527 | $116K |
| D1208 | Topical application of fluoride, excluding varnish | 7.4% | 7,055 | 6,859 | $99K |
| D0220 | Intraoral - periapical first radiographic image | 6.3% | 7,254 | 7,011 | $84K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.0% | 7,800 | 6,718 | $81K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.7% | 1,009 | 576 | $77K |
| D0272 | Bitewings - two radiographic images | 4.6% | 2,853 | 2,780 | $62K |
| D1351 | Sealant - per tooth | 1.7% | 900 | 213 | $23K |
10 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 50 | $5K |
| D0330 | Panoramic radiographic image | <1% | 317 | $4K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 60 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 124 | $4K |
| D0350 | <1% | 122 | $1K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 73 | $1K |
| D0270 | <1% | 14 | $63.70 | |
| D0603 | 0% | 4,565 | $0.00 | |
| D0602 | 0% | 2,731 | $0.00 | |
| D0601 | 0% | 1,015 | $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 officialWHILBY, PATRICK (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| LA Homa Family Dental PLLC | Mission, TX | $869K |
| Bryan ST Dental PLLC | Mission, TX | $180K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.