Dental
Luminous Dental
Luminous Dental was paid $198K by Medicaid between Dec 2020 and Dec 2024, across 14 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 21% of everything it billed.
33Billing provider infoLUMINOUS DENTAL
SPRING, TX 77380
SPRING, TX 77380
33aNPI1245628304assigned 12/23/2014
33bProvider typeDentist
28Total paid$198K
24GClaims9,367
24DCodes billed14
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#503 of 1,678
Median peer was paid$35K
This provider vs. median5.8×
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 | 173 | $4K | |
| 2021 | 2,195 | $48K | |
| 2022 | 3,358 | $71K | |
| 2023 | 1,709 | $37K | |
| 2024incomplete | 1,932 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 21% | 325 | 305 | $42K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 995 | 948 | $34K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 1,134 | 1,082 | $31K |
| D1351 | Sealant - per tooth | 9.4% | 722 | 152 | $19K |
| D1208 | Topical application of fluoride, excluding varnish | 8.9% | 1,290 | 1,224 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 7.2% | 1,234 | 1,162 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.7% | 1,267 | 1,108 | $13K |
| D0274 | Bitewings - four radiographic images | 5.0% | 317 | 294 | $10K |
| D0272 | Bitewings - two radiographic images | 4.9% | 444 | 424 | $10K |
| D1110 | Prophylaxis - adult | 3.7% | 151 | 141 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 30 | 28 | $847.68 |
| D0603 | 0% | 127 | 123 | $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 officialFERNANDEZ, JUAN CARLOS (OWNER)