Dental
Cosmic Dental PLLC
Cosmic Dental PLLC was paid $775K by Medicaid between Apr 2024 and Dec 2024, across 22 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 25% of everything it billed.
33Billing provider infoCOSMIC DENTAL PLLC
DALLAS, TX 75211
DALLAS, TX 75211
33aNPI1275312068assigned 09/21/2023
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$775K
24GClaims20,327
24DCodes billed22
24AFirst – last monthApr 2024 – Dec 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Texas
Rank by total paid#13 of 87
Median peer was paid$54K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2024incomplete | 20,327 | $775K |
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 | 25% | 2,335 | 931 | $194K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 20% | 2,364 | 862 | $157K |
| D0210 | Intraoral - complete series of radiographic images | 16% | 1,936 | 1,789 | $122K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.0% | 1,980 | 1,821 | $62K |
| D1351 | Sealant - per tooth | 6.9% | 2,662 | 573 | $53K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.2% | 1,277 | 1,186 | $40K |
| D1110 | Prophylaxis - adult | 4.9% | 794 | 738 | $38K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.7% | 1,529 | 1,394 | $36K |
| D1208 | Topical application of fluoride, excluding varnish | 3.4% | 2,054 | 1,901 | $26K |
| D0145 | Oral evaluation for a patient under three years of age | 3.1% | 189 | 177 | $24K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.1% | 94 | 72 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 133 | 64 | $3K |
10 more codes
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 297 | $3K |
| D0120 | Dental checkup, returning patient | <1% | 103 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 65 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 140 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 23 | $444.22 |
| D0330 | Panoramic radiographic image | <1% | 42 | $318.90 |
| D0350 | <1% | 42 | $314.26 | |
| D0603 | 0% | 2,227 | $0.00 | |
| D0602 | 0% | 12 | $0.00 | |
| D0601 | 0% | 29 | $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 officialMECHREK, SERGE (AUTHORIZED OFFICIAL)