Dental
Broadway Smiles PC
Broadway Smiles PC was paid $1.05M by Medicaid between Jul 2019 and Dec 2024, across 21 billing codes. Its largest line is D1351, Sealant - per tooth — 21% of everything it billed.
33Billing provider infoBROADWAY SMILES PC
SULPHUR SPRINGS, TX 75482
SULPHUR SPRINGS, TX 75482
33aNPI1194075341assigned 09/14/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$1.05M
24GClaims41,715
24DCodes billed21
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#313 of 2,774
Median peer was paid$43K
This provider vs. median25×
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 | 154 | $3K | |
| 2020 | 1,871 | $41K | |
| 2021 | 12,226 | $302K | |
| 2022 | 9,941 | $254K | |
| 2023 | 10,197 | $262K | |
| 2024incomplete | 7,326 | $187K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 21% | 8,501 | 1,755 | $222K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 4,162 | 4,125 | $117K |
| D1120 | Dental cleaning, childProphylaxis - child | 10.0% | 2,940 | 2,904 | $104K |
| D0145 | Oral evaluation for a patient under three years of age | 9.3% | 700 | 698 | $98K |
| D1110 | Prophylaxis - adult | 9.2% | 1,848 | 1,825 | $97K |
| D0274 | Bitewings - four radiographic images | 8.8% | 2,911 | 2,869 | $92K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.7% | 810 | 412 | $81K |
| D1208 | Topical application of fluoride, excluding varnish | 6.4% | 4,736 | 4,667 | $68K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.7% | 4,656 | 1,749 | $49K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.3% | 598 | 316 | $45K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 2,169 | 2,115 | $25K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.9% | 739 | 676 | $20K |
9 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 538 | $18K |
| D0272 | Bitewings - two radiographic images | <1% | 350 | $8K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 27 | $4K |
| D1330 | <1% | 178 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 18 | $523.89 |
| D0350 | <1% | 18 | $238.94 | |
| D0603 | <1% | 5,776 | $0.02 | |
| D0601 | 0% | 26 | $0.00 | |
| D0602 | 0% | 14 | $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 officialSHETTY, PRAVEENA (OWNER)