Dental
Knox Village Dentistry and Orthodontics PLLC
Knox Village Dentistry and Orthodontics PLLC was paid $9K by Medicaid between Dec 2021 and Nov 2024, across 7 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 28% of everything it billed.
33Billing provider infoKNOX VILLAGE DENTISTRY AND ORTHODONTICS PLLC
DALLAS, TX 75204
DALLAS, TX 75204
33aNPI1235519406assigned 06/03/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$9K
24GClaims930
24DCodes billed7
24AFirst – last monthDec 2021 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,936 of 2,774
Median peer was paid$43K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2021 | 26 | $406.65 | |
| 2022 | 200 | $937.39 | |
| 2023 | 273 | $3K | |
| 2024incomplete | 431 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 28% | 282 | 253 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 25% | 322 | 188 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 74 | 68 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 17% | 129 | 121 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 44 | 41 | $918.75 |
| D0601 | 0% | 50 | 50 | $0.00 | |
| D0602 | 0% | 29 | 26 | $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 officialSIGMAN, MELISSA (DIRECTOR OF OPERATIONS)
| Provider | Location | Paid |
|---|---|---|
| Bryan Place Dental P.C. | Dallas, TX | $893K |
| Smile Zone of Fair Park,p.C. | Dallas, TX | $795K |
| Ensenada Dental PLLC | Arlington, TX | $268K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.