Dental
Time Square Dental Group
Time Square Dental Group was paid $50K by Medicaid between Nov 2020 and Apr 2024, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 29% of everything it billed.
33Billing provider infoTIME SQUARE DENTAL GROUP
PASADENA, TX 77505
PASADENA, TX 77505
33aNPI1225369077assigned 01/19/2010
33bProvider typePeriodontist
28Total paid$50K
24GClaims3,294
24DCodes billed9
24AFirst – last monthNov 2020 – Apr 2024
Compared with peers
Next to other Periodontist providers in Texas
Rank by total paid#7 of 13
Median peer was paid$50K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2020 | 246 | $4K | |
| 2021 | 972 | $14K | |
| 2022 | 1,243 | $21K | |
| 2023 | 697 | $10K | |
| 2024incomplete | 136 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 29% | 600 | 573 | $15K |
| D1110 | Prophylaxis - adult | 17% | 187 | 180 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 654 | 632 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 519 | 501 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 552 | 468 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.6% | 98 | 95 | $3K |
| D0274 | Bitewings - four radiographic images | 5.7% | 99 | 98 | $3K |
| D0272 | Bitewings - two radiographic images | 2.8% | 64 | 62 | $1K |
| D0601 | <1% | 521 | 506 | $0.03 |
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 officialDACCAK, RAZAN (OWNER)