Dental
Fair Oaks Dental, PA
Fair Oaks Dental, PA was paid $640.75 by Medicaid between Mar 2021 and Oct 2022, across 3 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 50% of everything it billed.
33Billing provider infoFAIR OAKS DENTAL, PA
FAIR OAKS RANCH, TX 78015
FAIR OAKS RANCH, TX 78015
33aNPI1194901744assigned 01/14/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$640.75
24GClaims73
24DCodes billed3
24AFirst – last monthMar 2021 – Oct 2022
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#2,480 of 2,774
Median peer was paid$43K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 33 | $132.30 | |
| 2022 | 40 | $508.45 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 50% | 27 | 27 | $323.40 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 50% | 12 | 12 | $317.35 |
| D0603 | 0% | 34 | 33 | $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 officialTRAN, HUYEN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Shavano Park Family Dentistry, PA | San Antonio, TX | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.