Dental
Dentaspa PLLC
Dentaspa PLLC was paid $1.07M by Medicaid between Dec 2020 and Dec 2024, across 22 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoDENTASPA PLLC
CONROE, TX 77303
CONROE, TX 77303
33aNPI1285106716assigned 12/21/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$1.07M
24GClaims41,844
24DCodes billed22
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#307 of 2,774
Median peer was paid$43K
This provider vs. median25×
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 | 474 | $12K | |
| 2021 | 5,746 | $143K | |
| 2022 | 11,975 | $322K | |
| 2023 | 13,194 | $352K | |
| 2024incomplete | 10,455 | $236K |
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 | 20% | 2,218 | 898 | $212K |
| D1351 | Sealant - per tooth | 16% | 6,362 | 1,155 | $168K |
| D0145 | Oral evaluation for a patient under three years of age | 14% | 1,057 | 1,053 | $148K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.2% | 8,708 | 4,093 | $87K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.8% | 2,406 | 2,359 | $83K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.4% | 2,515 | 2,470 | $69K |
| D0274 | Bitewings - four radiographic images | 6.0% | 2,253 | 2,201 | $64K |
| D1110 | Prophylaxis - adult | 5.1% | 1,092 | 1,071 | $54K |
| D1206 | Topical application of fluoride varnish | 4.8% | 3,674 | 3,607 | $51K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 4,405 | 4,265 | $46K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 1,381 | 1,345 | $45K |
| D7240 | Removal of impacted tooth - completely bony | 2.2% | 83 | 27 | $24K |
10 more codes
| D0272 | Bitewings - two radiographic images | <1% | 301 | $7K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 95 | $4K |
| D9222 | <1% | 43 | $2K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 19 | $1K |
| D0330 | Panoramic radiographic image | <1% | 74 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 18 | $487.98 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 14 | $176.40 |
| D0603 | 0% | 3,163 | $0.00 | |
| D0602 | 0% | 1,948 | $0.00 | |
| D0601 | 0% | 15 | $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 officialAL-SALMAN, HAITHAM (OWNER)