Dental
Sunset Square PLLC
Sunset Square PLLC was paid $3.80M by Medicaid between Sep 2018 and Dec 2024, across 20 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoSUNSET SQUARE PLLC
SAN ANTONIO, TX 78218
SAN ANTONIO, TX 78218
33aNPI1225375058assigned 01/14/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$3.80M
24GClaims143,725
24DCodes billed20
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#87 of 2,774
Median peer was paid$43K
This provider vs. median89×
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 | |
|---|---|---|---|
| 2018 | 13 | $0.00 | |
| 2020 | 4,298 | $106K | |
| 2021 | 39,020 | $1.09M | |
| 2022 | 41,129 | $1.14M | |
| 2023 | 33,625 | $849K | |
| 2024incomplete | 25,640 | $620K |
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 | 24% | 9,541 | 4,926 | $927K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 14,353 | 14,205 | $404K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 10,843 | 10,745 | $384K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 10.0% | 4,921 | 2,760 | $379K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.9% | 30,391 | 12,554 | $337K |
| D0145 | Oral evaluation for a patient under three years of age | 6.2% | 1,705 | 1,682 | $234K |
| D1208 | Topical application of fluoride, excluding varnish | 5.7% | 15,268 | 15,108 | $218K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.6% | 8,109 | 7,945 | $211K |
| D1351 | Sealant - per tooth | 4.5% | 6,505 | 1,969 | $173K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 13,325 | 13,165 | $162K |
| D1110 | Prophylaxis - adult | 3.7% | 2,634 | 2,611 | $141K |
| D0272 | Bitewings - two radiographic images | 2.3% | 3,836 | 3,807 | $88K |
8 more codes
| D0210 | Intraoral - complete series of radiographic images | 2.0% | 1,135 | $75K |
| D0274 | Bitewings - four radiographic images | 1.4% | 1,604 | $54K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 105 | $11K |
| D0350 | <1% | 257 | $2K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 50 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 37 | $676.08 |
| D0603 | 0% | 19,093 | $0.00 | |
| D0602 | 0% | 13 | $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 officialVIRK, HARRY (MANAGING MEMBER)