IDEAL DENTAL OF STONE PARK PLLC

NPI: 1255705042 · HOUSTON, TX 77049 · Dentist · NPI assigned 11/17/2015

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official AHMED, SULMAN controls 20+ related entities in our dataset. Read more

$2K

Total Medicaid Paid

291

Total Claims

257

Beneficiaries

Codes Billed

2021-02

First Month

2022-12

Last Month

Provider Details

Authorized Official	AHMED, SULMAN (CEO)
NPI Enumeration Date	11/17/2015

Other providers sharing the same authorized official: AHMED, SULMAN

Provider	City	State	Total Paid
SMILE WORKSHOP AMARILLO, PLLC	AMARILLO	TX	$2.29M
SMILE CARE NORTHEAST, PLLC	HURST	TX	$1.32M
SMILE WORKSHOP FORT WORTH, PLLC	FORT WORTH	TX	$714K
SMILE WORKSHOP BALCH SPRINGS, PLLC	BALCH SPRINGS	TX	$669K
SMILE WORKSHOP DENTON, PLLC	DENTON	TX	$652K
SMILE WORKSHOP DENTAL SPECIALISTS-AMARILLO, PLLC	AMARILLO	TX	$615K
SMILE WORKSHOP TIMBER CREEK, PLLC	DALLAS	TX	$498K
SMILE CARE CEDAR HILL	CEDAR HILL	TX	$460K
SMILE WORKSHOP SAN ANTONIO, PLLC	SAN ANTONIO	TX	$431K
SMILE WORKSHOP FORNEY, PLLC	FORNEY	TX	$234K
SMILE CARE, PLLC	DALLAS	TX	$190K
SMILE WORKSHOP NEW BRAUNFELS, PLLC	NEW BRAUNFELS	TX	$49K
SMILE WORKSHOP ALAMO RANCH, PLLC	SAN ANTONIO	TX	$9K
IDEAL DENTAL OF WYLIE, PLLC	WYLIE	TX	$8K
IDEAL DENTAL BRUSH CEDAR PARK PLLC	CEDAR PARK	TX	$2K
IDEAL DENTAL OF RICHMOND PLLC	RICHMOND	TX	$2K
IDEAL DENTAL OF LEAGUE CITY PLLC	LEAGUE CITY	TX	$2K
IDEAL DENTAL OF POTRANCO PLLC	SAN ANTONIO	TX	$2K
IDEAL DENTAL OF RAYFORD PLLC	SPRING	TX	$1K
LAKE WORTH CENTER DENTAL PLLC	FORT WORTH	TX	$1K

Year	Claims	Total Paid
2021	191	$1K
2022	100	$1K

Code	Description	Claims	Beneficiaries	Total Paid
D1208	Topical application of fluoride, excluding varnish	55	55	$646.80
D0120	Periodic oral evaluation - established patient	26	26	$634.70
D0220	Intraoral - periapical first radiographic image	71	70	$439.60
D0230	Intraoral - periapical each additional radiographic image	84	55	$322.28
D0274	Bitewings - four radiographic images	12	12	$242.27
D0603		13	12	$0.00
D0350		30	27	$0.00