Clinic
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
SAN AUGUSTINE, TX 75972
33aNPI1184340622assigned 10/17/2022
33bProvider typeOral and Maxillofacial Surgery Clinic/Center
28Total paid$29K
24GClaims1,812
24DCodes billed14
24AFirst – last monthMay 2023 – Dec 2024
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 | |
|---|---|---|---|
| 2023 | 85 | $2K | |
| 2024incomplete | 1,727 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 |
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)