Dental
Los Fresnos Family Dentistry
Los Fresnos Family Dentistry was paid $377K by Medicaid between Oct 2018 and Nov 2024, across 19 billing codes. Its largest line is D0120, dental checkup, returning patient — 15% of everything it billed.
33Billing provider infoLOS FRESNOS FAMILY DENTISTRY
LOS FRESNOS, TX 78566
LOS FRESNOS, TX 78566
33aNPI1164757233assigned 10/07/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$377K
24GClaims16,034
24DCodes billed19
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#621 of 2,774
Median peer was paid$43K
This provider vs. median8.8×
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 | 14 | $191.10 | |
| 2020 | 862 | $20K | |
| 2021 | 8,075 | $214K | |
| 2022 | 3,690 | $85K | |
| 2023 | 1,860 | $32K | |
| 2024incomplete | 1,533 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 1,980 | 1,959 | $55K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 594 | 315 | $54K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 1,427 | 1,414 | $51K |
| D0145 | Oral evaluation for a patient under three years of age | 11% | 308 | 301 | $42K |
| D1110 | Prophylaxis - adult | 8.5% | 614 | 607 | $32K |
| D1208 | Topical application of fluoride, excluding varnish | 8.4% | 2,210 | 2,189 | $32K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.2% | 2,470 | 1,699 | $27K |
| D0274 | Bitewings - four radiographic images | 6.3% | 720 | 710 | $24K |
| D0220 | Intraoral - periapical first radiographic image | 5.8% | 1,820 | 1,789 | $22K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.0% | 617 | 553 | $15K |
| D0272 | Bitewings - two radiographic images | 2.6% | 437 | 432 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 2.0% | 126 | 121 | $7K |
7 more codes
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 officialVOREIS, MONICA (DENTIST)