Dental
Smile Profile Dental of Texas PLLC
Smile Profile Dental of Texas PLLC was paid $99K by Medicaid between Dec 2020 and Aug 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.
33Billing provider infoSMILE PROFILE DENTAL OF TEXAS PLLC
KATY, TX 77494
KATY, TX 77494
33aNPI1285090027assigned 01/09/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$99K
24GClaims5,982
24DCodes billed10
24AFirst – last monthDec 2020 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,076 of 2,774
Median peer was paid$43K
This provider vs. median2.3×
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 | 115 | $2K | |
| 2021 | 1,747 | $28K | |
| 2022 | 1,794 | $29K | |
| 2023 | 1,589 | $29K | |
| 2024incomplete | 737 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 701 | 693 | $20K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 437 | 436 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 14% | 1,199 | 866 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 827 | 825 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 890 | 879 | $11K |
| D1351 | Sealant - per tooth | 9.9% | 370 | 61 | $10K |
| D0272 | Bitewings - two radiographic images | 9.7% | 413 | 412 | $10K |
| D1110 | Prophylaxis - adult | 4.6% | 83 | 83 | $5K |
| D0274 | Bitewings - four radiographic images | 2.8% | 82 | 82 | $3K |
| D0603 | 0% | 980 | 976 | $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 officialKAHLON, GAGANDEEP (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Modern Dental | El Campo, TX | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.