Dental
Blossom Smile Dental, PLLC
Blossom Smile Dental, PLLC was paid $264K by Medicaid between Mar 2021 and Dec 2024, across 16 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 16% of everything it billed.
33Billing provider infoBLOSSOM SMILE DENTAL, PLLC
EULESS, TX 76040
EULESS, TX 76040
33aNPI1285159137assigned 08/11/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$264K
24GClaims10,685
24DCodes billed16
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#725 of 2,774
Median peer was paid$43K
This provider vs. median6.2×
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 | |
|---|---|---|---|
| 2021 | 2,892 | $71K | |
| 2022 | 4,206 | $111K | |
| 2023 | 2,197 | $51K | |
| 2024incomplete | 1,390 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 16% | 315 | 306 | $43K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 1,094 | 1,076 | $39K |
| D0210 | Intraoral - complete series of radiographic images | 9.9% | 404 | 395 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 899 | 890 | $26K |
| D1208 | Topical application of fluoride, excluding varnish | 9.1% | 1,679 | 1,647 | $24K |
| D1110 | Prophylaxis - adult | 8.1% | 401 | 394 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.8% | 643 | 619 | $21K |
| D0274 | Bitewings - four radiographic images | 5.0% | 390 | 386 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 4.9% | 1,068 | 1,048 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.4% | 1,061 | 1,036 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.4% | 114 | 26 | $12K |
| D0272 | Bitewings - two radiographic images | 3.2% | 371 | 368 | $8K |
4 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 officialLE, BRIAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Ibrite Dental - Cleburne, PLLC | Cleburne, TX | $1.27M |
| Brian Le DO PC | Las Vegas, NV | $1.05M |
| Ibrite Dental PLLC | Fort Worth, TX | $395K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.