Dental
Tooth Place Psja, PLLC
Tooth Place Psja, PLLC was paid $40K by Medicaid between Nov 2020 and Oct 2021, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 31% of everything it billed.
33Billing provider infoTOOTH PLACE PSJA, PLLC
SAN JUAN, TX 78589
SAN JUAN, TX 78589
33aNPI1245890300assigned 06/19/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$40K
24GClaims3,441
24DCodes billed18
24AFirst – last monthNov 2020 – Oct 2021
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,412 of 2,774
Median peer was paid$43K
This provider vs. median0.9×
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 | 1,159 | $10K | |
| 2021 | 2,282 | $30K |
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 | 31% | 156 | 73 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 207 | 179 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.3% | 148 | 114 | $3K |
| D0274 | Bitewings - four radiographic images | 7.4% | 157 | 128 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 7.2% | 301 | 247 | $3K |
| D1110 | Prophylaxis - adult | 6.9% | 92 | 72 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 125 | 85 | $2K |
| D0330 | Panoramic radiographic image | 5.1% | 120 | 79 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.7% | 372 | 160 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 223 | 167 | $2K |
| D0272 | Bitewings - two radiographic images | 2.6% | 91 | 65 | $1K |
| D0145 | Oral evaluation for a patient under three years of age | 2.5% | 25 | 14 | $994.49 |
6 more codes
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 officialMARTINEZ, SHELLY (DDS)
| Provider | Location | Paid |
|---|---|---|
| The Tooth Place, P.A. | Brownsville, TX | $4.33M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.