SD Park Lake PLLC
SD Park Lake PLLC was paid $2K by Medicaid between Jan 2024 and Jul 2024, across 7 billing codes. Its largest line is D0330, Panoramic radiographic image — 33% of everything it billed.
WACO, TX 76708
Next to other General Practice Dentistry providers in Texas
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 205 | $2K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 33% | 28 | 25 | $745.07 |
| D0150 | Comprehensive oral evaluation - new or established patient | 24% | 17 | 16 | $536.84 |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 25 | 24 | $333.69 |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 65 | 27 | $242.09 |
| D0274 | Bitewings - four radiographic images | 10.0% | 13 | 13 | $222.77 |
| D0220 | Intraoral - periapical first radiographic image | 7.0% | 29 | 29 | $157.26 |
| D0603 | <1% | 28 | 25 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| SD Greenville LLC | Greenville, TX | $719K |
| SD Corpus Christi PLLC | Corpus Christi, TX | $557K |
| SD- Roosevelt PC | San Antonio, TX | $314K |
| SD Texarkana | Texarkana, TX | $280K |
| SD- 4315Frederick PC | San Antonio, TX | $218K |
| Smiley Dental Singleton PLLC | Dallas, TX | $215K |
| SD- Potranco, PC | San Antonio, TX | $178K |
| Smiley Dental - University | Denton, TX | $114K |
| Smiley Dental Mccart PLLC | Fort Worth, TX | $55K |
| Smiley Dental Kemp PLLC | Wichita Falls, TX | $47K |
| SD Meadowbrook PLLC | Fort Worth, TX | $26K |
| Sd-Braun, PC | San Antonio, TX | $22K |
| Sd-933Schertz PC | Schertz, TX | $22K |
| Sd-Hwy 78 PC | San Antonio, TX | $20K |
| Sd-Dezavala PC | San Antonio, TX | $15K |
| Smiley Dental Lamar PLLC | Austin, TX | $12K |
| SD Saginaw PLLC | Saginaw, TX | $8K |
| SD Park Row PLLC | Arlington, TX | $6K |
| SD Haltom City PLLC | Haltom City, TX | $4K |
| SD Valley Mills PLLC | Waco, TX | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.