Dental
Lol Dental
Lol Dental was paid $1.70M by Medicaid between Nov 2020 and Dec 2024, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoLOL DENTAL
CROCKETT, TX 75835
CROCKETT, TX 75835
33aNPI1235499807assigned 05/16/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$1.70M
24GClaims58,864
24DCodes billed21
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#205 of 2,774
Median peer was paid$43K
This provider vs. median40×
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 | 859 | $19K | |
| 2021 | 14,062 | $408K | |
| 2022 | 14,629 | $415K | |
| 2023 | 16,409 | $483K | |
| 2024incomplete | 12,905 | $375K |
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 | 19% | 3,507 | 1,827 | $327K |
| D1351 | Sealant - per tooth | 12% | 7,848 | 1,773 | $211K |
| D0145 | Oral evaluation for a patient under three years of age | 11% | 1,310 | 1,295 | $180K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 5,193 | 5,165 | $144K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.2% | 3,999 | 3,978 | $140K |
| D1110 | Prophylaxis - adult | 6.8% | 2,220 | 2,197 | $115K |
| D1206 | Topical application of fluoride varnish | 5.0% | 6,092 | 6,055 | $86K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.0% | 1,131 | 740 | $85K |
| D0274 | Bitewings - four radiographic images | 4.0% | 2,095 | 2,081 | $68K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 5,305 | 5,232 | $63K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 5,097 | 4,914 | $55K |
| D0272 | Bitewings - two radiographic images | 3.2% | 3,240 | 3,226 | $55K |
9 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.3% | 441 | $40K |
| D0330 | Panoramic radiographic image | 2.3% | 1,091 | $39K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 958 | $31K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.7% | 1,083 | $28K |
| D0210 | Intraoral - complete series of radiographic images | 1.2% | 331 | $20K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 75 | $11K |
| D0140 | Limited oral evaluation - problem focused | <1% | 172 | $3K |
| D0603 | 0% | 7,630 | $0.00 | |
| D0602 | 0% | 46 | $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 officialWARDA, SHERIF (OWNER)