Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Bright Dental Studio PLLC

Bright Dental Studio PLLC was paid $29K by Medicaid between May 2023 and Dec 2024, across 14 billing codes. Its largest line is D1351, Sealant - per tooth — 20% of everything it billed.

33Billing provider infoBRIGHT DENTAL STUDIO PLLC
SAN AUGUSTINE, TX 75972
33aNPI1184340622assigned 10/17/2022
28Total paid$29K
24GClaims1,812
24DCodes billed14
24AFirst – last monthMay 2023 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
202385$2K
2024incomplete1,727$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1351 Sealant - per tooth 20% 308 44 $6K
D1120 Dental cleaning, childProphylaxis - child 16% 139 130 $5K
D0230 Intraoral - periapical each additional radiographic image 15% 438 138 $4K
D0145 Oral evaluation for a patient under three years of age 12% 25 25 $4K
D1208 Topical application of fluoride, excluding varnish 11% 241 219 $3K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 7.6% 86 80 $2K
D0220 Intraoral - periapical first radiographic image 6.3% 156 146 $2K
D0150 Comprehensive oral evaluation - new or established patient 4.8% 61 50 $1K
D0330 Panoramic radiographic image 2.7% 24 14 $777.32
D0350 1.7% 58 45 $496.26
D0274 Bitewings - four radiographic images 1.7% 15 14 $484.54
D1206 Topical application of fluoride varnish <1% 14 14 $191.10
2 more codes
D0602 0% 216 $0.00
D0603 0% 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 officialFOWLER, SIDNEY (OWNER)