Clinic
Legacy Trails Dental, PLLC
Legacy Trails Dental, PLLC was paid $17K by Medicaid between Jan 2022 and Nov 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.
33Billing provider infoLEGACY TRAILS DENTAL, PLLC
PLANO, TX 75024
PLANO, TX 75024
33aNPI1245684430assigned 04/14/2016
33bProvider typeDental Clinic/Center
28Total paid$17K
24GClaims992
24DCodes billed8
24AFirst – last monthJan 2022 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#177 of 255
Median peer was paid$110K
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 | |
|---|---|---|---|
| 2022 | 242 | $4K | |
| 2023 | 380 | $6K | |
| 2024incomplete | 370 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 35% | 118 | 113 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 180 | 151 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 19% | 260 | 234 | $3K |
| D0274 | Bitewings - four radiographic images | 15% | 75 | 73 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 4.2% | 63 | 61 | $729.92 |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 61 | 59 | $644.05 |
| D0601 | 0% | 98 | 96 | $0.00 | |
| D0603 | 0% | 137 | 112 | $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 officialAZMOODEH, AFSHIN (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Epic Family Dentistry, PLLC | Garland, TX | $27K |
| Canyon Creek Family Dentistry, P.A. | Richardson, TX | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.