Archstone Dental PLLC
Archstone Dental PLLC was paid $561K by Medicaid between Oct 2020 and Nov 2024, across 17 billing codes. Its largest line is D0120, dental checkup, returning patient — 16% of everything it billed.
FORT WORTH, TX 76116
Next to other General Practice Dentistry providers in Texas
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 689 | $13K | |
| 2021 | 8,763 | $198K | |
| 2022 | 8,005 | $162K | |
| 2023 | 6,829 | $128K | |
| 2024incomplete | 3,556 | $62K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 3,226 | 3,160 | $89K |
| D1110 | Prophylaxis - adult | 16% | 1,674 | 1,648 | $87K |
| D0230 | Intraoral - periapical each additional radiographic image | 13% | 6,711 | 2,746 | $72K |
| D0274 | Bitewings - four radiographic images | 10% | 1,783 | 1,740 | $58K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.8% | 1,581 | 1,554 | $55K |
| D1206 | Topical application of fluoride varnish | 8.7% | 3,465 | 3,404 | $49K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.2% | 361 | 190 | $35K |
| D0220 | Intraoral - periapical first radiographic image | 6.2% | 2,938 | 2,855 | $35K |
| D0210 | Intraoral - complete series of radiographic images | 4.8% | 412 | 406 | $27K |
| D1351 | Sealant - per tooth | 3.3% | 702 | 90 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 210 | 128 | $15K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.9% | 411 | 391 | $11K |
5 more codes
| D0145 | Oral evaluation for a patient under three years of age | 1.6% | 66 | $9K |
| D0272 | Bitewings - two radiographic images | <1% | 45 | $935.20 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 58 | $823.20 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | $423.84 |
| D0603 | 0% | 4,187 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Chris Larrow PLLC | Lawton, OK | $16.57M |
| Germantown Pediatric Dental & Orthodontic Center, LLC | Germantown, MD | $3.35M |
| Robstown Dental PLLC | Robstown, TX | $2.84M |
| Stan Kidtastic Dental LLC | San Tan Valley, AZ | $2.22M |
| Mesa Kidtastic Dental LLC | Mesa, AZ | $1.61M |
| Avondale Valley Dental LLC | Avondale, AZ | $1.39M |
| Peppermint Dental-Mckinney PLLC | Mckinney, TX | $1.35M |
| Mesa Valley Dental LLC | Mesa, AZ | $1.24M |
| Mabank Family Dentistry PLLC | Mabank, TX | $753K |
| Stassney Austin Dental PLLC | Austin, TX | $659K |
| Northglenn Dentistry and Orthodontics PLLC | Northglenn, CO | $599K |
| Gulfside Dental Bridge City PLLC | Bridge City, TX | $569K |
| Gilbert Kidtastic Dental LLC | Gilbert, AZ | $481K |
| Riverside Austin Dental PLLC | Austin, TX | $396K |
| Dove Family Dentistry Oakland PLLC | Oakland, TN | $391K |
| Gilbert Valley Dental LLC | Gilbert, AZ | $296K |
| West Tennessee Dentistry PLLC | Jackson, TN | $287K |
| Copperas Cove Dentistry and Orthodontics PLLC | Copperas Cove, TX | $203K |
| East 51 Austin Dental PLLC | Austin, TX | $187K |
| Southpark Austin Dental PLLC | Austin, TX | $172K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.