Dental
Centra One Dental PA
Centra One Dental PA was paid $1.45M by Medicaid between Sep 2018 and Dec 2024, across 22 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.
33Billing provider infoCENTRA ONE DENTAL PA
HOUSTON, TX 77045
HOUSTON, TX 77045
33aNPI1174869580assigned 12/13/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$1.45M
24GClaims61,193
24DCodes billed22
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#236 of 2,774
Median peer was paid$43K
This provider vs. median34×
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 | 12 | $176.40 | |
| 2020 | 2,154 | $50K | |
| 2021 | 18,942 | $441K | |
| 2022 | 19,314 | $461K | |
| 2023 | 11,285 | $267K | |
| 2024incomplete | 9,486 | $230K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 2,319 | 1,352 | $230K |
| D1351 | Sealant - per tooth | 15% | 8,107 | 1,753 | $216K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.6% | 4,931 | 4,832 | $139K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.3% | 3,385 | 3,320 | $120K |
| D0145 | Oral evaluation for a patient under three years of age | 8.2% | 856 | 841 | $118K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.3% | 10,626 | 5,393 | $105K |
| D1110 | Prophylaxis - adult | 7.3% | 1,987 | 1,948 | $105K |
| D0274 | Bitewings - four radiographic images | 6.4% | 3,096 | 3,031 | $93K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.6% | 1,066 | 599 | $81K |
| D1208 | Topical application of fluoride, excluding varnish | 5.5% | 5,596 | 5,490 | $80K |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 5,762 | 5,617 | $57K |
| D0350 | 3.7% | 5,165 | 5,059 | $53K |
10 more codes
| D0330 | Panoramic radiographic image | 1.2% | 732 | $17K |
| D0272 | Bitewings - two radiographic images | <1% | 709 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 286 | $10K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 57 | $6K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 26 | $2K |
| D1330 | <1% | 162 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $244.14 |
| D0603 | 0% | 3,783 | $0.00 | |
| D0601 | 0% | 591 | $0.00 | |
| D0602 | 0% | 1,938 | $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 officialNGUYEN, KATHY (DENTIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Centra Soho PLLC | South Houston, TX | $112K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.