Dental
Lone Star Dentistry Clinic
Lone Star Dentistry Clinic was paid $114K by Medicaid between Nov 2020 and Dec 2024, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 21% of everything it billed.
33Billing provider infoLONE STAR DENTISTRY CLINIC
LEWISVILLE, TX 75057
LEWISVILLE, TX 75057
33aNPI1205168994assigned 02/04/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$114K
24GClaims6,240
24DCodes billed15
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,012 of 2,774
Median peer was paid$43K
This provider vs. median2.7×
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 | |
|---|---|---|---|
| 2020 | 321 | $5K | |
| 2021 | 1,834 | $30K | |
| 2022 | 1,891 | $35K | |
| 2023 | 1,287 | $29K | |
| 2024incomplete | 907 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 854 | 844 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 535 | 529 | $19K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 953 | 942 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 1,355 | 951 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 9.2% | 997 | 981 | $10K |
| D1110 | Prophylaxis - adult | 7.5% | 161 | 157 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.8% | 78 | 26 | $8K |
| D0274 | Bitewings - four radiographic images | 6.3% | 236 | 230 | $7K |
| D0272 | Bitewings - two radiographic images | 6.2% | 324 | 321 | $7K |
| D0145 | Oral evaluation for a patient under three years of age | 1.5% | 12 | 12 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 30 | 28 | $813.30 |
| D0330 | Panoramic radiographic image | <1% | 30 | 29 | $729.67 |
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 officialQUACH, BAO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Lone Star Dentistry Clinic PC | Dallas, TX | $37K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.