Dental
Full Smile Dental Boerne Orthodontics, PLLC
Full Smile Dental Boerne Orthodontics, PLLC was paid $121K by Medicaid between May 2023 and Dec 2024, across 16 billing codes. Its largest line is D1351, Sealant - per tooth — 17% of everything it billed.
33Billing provider infoFULL SMILE DENTAL BOERNE ORTHODONTICS, PLLC
BOERNE, TX 78006
BOERNE, TX 78006
33aNPI1215648340assigned 12/09/2022
33bProvider typePediatric Dentist
28Total paid$121K
24GClaims7,599
24DCodes billed16
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#425 of 693
Median peer was paid$252K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2023 | 4,176 | $71K | |
| 2024incomplete | 3,423 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 17% | 823 | 113 | $20K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 666 | 633 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 761 | 720 | $19K |
| D0230 | Intraoral - periapical each additional radiographic image | 10% | 1,537 | 801 | $13K |
| D0272 | Bitewings - two radiographic images | 7.1% | 436 | 412 | $9K |
| D0274 | Bitewings - four radiographic images | 7.0% | 320 | 300 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 6.9% | 888 | 832 | $8K |
| D1110 | Prophylaxis - adult | 6.5% | 175 | 167 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 4.6% | 502 | 471 | $6K |
| D1206 | Topical application of fluoride varnish | 3.6% | 362 | 355 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.1% | 103 | 98 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | 1.4% | 12 | 12 | $2K |
4 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 officialGRAVES, WILLIAM (OWNER)
| Provider | Location | Paid |
|---|---|---|
| ST. Camillus Health Center, INC. | Whitinsville, MA | $986K |
| Amarillo Oral Surgery, LLC | Amarillo, TX | $674K |
| Midfield Dental Center Associates | Midfield, AL | $216.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.