Dental
Phantastic Family Dental Center
Phantastic Family Dental Center was paid $844.90 by Medicaid between May 2022 and Oct 2022, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 48% of everything it billed.
33Billing provider infoPHANTASTIC FAMILY DENTAL CENTER
PASADENA, TX 77506
PASADENA, TX 77506
33aNPI1174800486assigned 11/15/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$844.90
24GClaims105
24DCodes billed4
24AFirst – last monthMay 2022 – Oct 2022
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#2,442 of 2,774
Median peer was paid$43K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2022 | 105 | $844.90 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 48% | 14 | 14 | $403.90 |
| D0240 | 28% | 43 | 15 | $235.20 | |
| D1208 | Topical application of fluoride, excluding varnish | 24% | 15 | 15 | $205.80 |
| D0601 | 0% | 33 | 31 | $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 officialPHAN, MINH (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| New Essence Health Care INC. | Houston, TX | $12.35M |
| Phantastic Smiles PA | Pasadena, TX | $766K |
| Minh Phan DDS PA | Pasadena, TX | $174K |
| Phantastic Family Dental Care PA | Houston, TX | $140K |
| Phantastic Dental Care PA | Galena Park, TX | $34K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.