Dental
Ismile Dental at the Chisolm Trail PLLC
Ismile Dental at the Chisolm Trail PLLC was paid $377K by Medicaid between Jan 2021 and Dec 2024, across 17 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 32% of everything it billed.
33Billing provider infoISMILE DENTAL AT THE CHISOLM TRAIL PLLC
FORT WORTH, TX 76123
FORT WORTH, TX 76123
33aNPI1205440146assigned 09/08/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$377K
24GClaims15,289
24DCodes billed17
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#620 of 2,774
Median peer was paid$43K
This provider vs. median8.8×
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 | 3,826 | $119K | |
| 2022 | 4,374 | $113K | |
| 2023 | 3,981 | $85K | |
| 2024incomplete | 3,108 | $61K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 32% | 1,323 | 365 | $123K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 4,116 | 1,264 | $43K |
| D0145 | Oral evaluation for a patient under three years of age | 9.5% | 262 | 260 | $36K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.4% | 1,309 | 1,292 | $35K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.5% | 947 | 936 | $32K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.3% | 464 | 148 | $31K |
| D1208 | Topical application of fluoride, excluding varnish | 6.6% | 1,821 | 1,798 | $25K |
| D0220 | Intraoral - periapical first radiographic image | 4.2% | 1,391 | 1,354 | $16K |
| D1110 | Prophylaxis - adult | 2.7% | 205 | 199 | $10K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.1% | 318 | 307 | $8K |
| D0274 | Bitewings - four radiographic images | 1.1% | 129 | 125 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 1.1% | 65 | 64 | $4K |
5 more codes
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 officialNGUYEN, LONG (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Long Nguyen D.D.S. a Dental Corporation | Roseville, CA | $718K |
| Ismile Dental II, PLLC | Arlington, TX | $444K |
| Long.P.Nguyen M.D., P.A. | Houston, TX | $15K |
| Lake Manassa Dental Center | Gainesville, VA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.