Dental
Revive Dental, PA
Revive Dental, PA was paid $638K by Medicaid between Jul 2019 and Dec 2024, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoREVIVE DENTAL, PA
IRVING, TX 75062
IRVING, TX 75062
33aNPI1184024887assigned 08/29/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$638K
24GClaims27,115
24DCodes billed16
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#451 of 2,774
Median peer was paid$43K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2019 | 48 | $712.95 | |
| 2020 | 937 | $23K | |
| 2021 | 8,516 | $194K | |
| 2022 | 7,658 | $181K | |
| 2023 | 6,354 | $150K | |
| 2024incomplete | 3,602 | $90K |
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 | 18% | 1,110 | 468 | $112K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 3,169 | 3,144 | $90K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 2,200 | 2,184 | $79K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 6,173 | 2,720 | $69K |
| D1110 | Prophylaxis - adult | 9.2% | 1,106 | 1,095 | $59K |
| D0274 | Bitewings - four radiographic images | 7.4% | 1,397 | 1,380 | $47K |
| D0145 | Oral evaluation for a patient under three years of age | 6.9% | 311 | 310 | $44K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 2,869 | 2,838 | $35K |
| D1208 | Topical application of fluoride, excluding varnish | 5.1% | 2,275 | 2,253 | $33K |
| D0210 | Intraoral - complete series of radiographic images | 4.2% | 401 | 397 | $27K |
| D1206 | Topical application of fluoride varnish | 2.5% | 1,107 | 1,104 | $16K |
| D0272 | Bitewings - two radiographic images | 1.8% | 491 | 487 | $11K |
4 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 officialCHO, YONG HO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Timebridge Dental, PLLC | Dallas, TX | $38K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.