Dental
Azteca Dental PLLC
Azteca Dental PLLC was paid $7.89M by Medicaid between Jun 2018 and Dec 2024, across 24 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 26% of everything it billed.
33Billing provider infoAZTECA DENTAL PLLC
FORT WORTH, TX 76115
FORT WORTH, TX 76115
33aNPI1235455353assigned 04/14/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$7.89M
24GClaims237,909
24DCodes billed24
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#20 of 2,774
Median peer was paid$43K
This provider vs. median185×
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 | 88 | $875.03 | |
| 2019 | 145 | $6K | |
| 2020 | 6,653 | $222K | |
| 2021 | 60,183 | $2.02M | |
| 2022 | 61,298 | $2.21M | |
| 2023 | 58,414 | $1.76M | |
| 2024incomplete | 51,128 | $1.66M |
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 | 26% | 20,956 | 9,297 | $2.07M |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.9% | 9,006 | 4,985 | $701K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.4% | 23,140 | 23,065 | $663K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.2% | 15,714 | 15,661 | $570K |
| D0145 | Oral evaluation for a patient under three years of age | 6.8% | 3,844 | 3,797 | $537K |
| D1110 | Prophylaxis - adult | 5.2% | 7,495 | 7,473 | $407K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.6% | 14,202 | 14,004 | $366K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.5% | 31,195 | 19,567 | $351K |
| D1208 | Topical application of fluoride, excluding varnish | 4.4% | 24,098 | 24,020 | $351K |
| D1351 | Sealant - per tooth | 4.4% | 12,733 | 4,409 | $351K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.4% | 1,853 | 641 | $272K |
| D0210 | Intraoral - complete series of radiographic images | 3.3% | 3,781 | 3,770 | $261K |
12 more codes
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 20,755 | $257K |
| D0274 | Bitewings - four radiographic images | 2.9% | 6,737 | $231K |
| D0272 | Bitewings - two radiographic images | 2.6% | 8,919 | $207K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.7% | 1,349 | $133K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.2% | 1,097 | $91K |
| D2330 | <1% | 564 | $42K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 377 | $13K |
| D0140 | Limited oral evaluation - problem focused | <1% | 387 | $7K |
| D2331 | <1% | 43 | $4K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 36 | $2K |
| D7111 | <1% | 116 | $1K | |
| D0603 | 0% | 29,512 | $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 officialSHAFI, HAMID (OWNER)