Dental
Boon Dental Alliance P.A.
Boon Dental Alliance P.A. was paid $340.44 by Medicaid between Apr 2021 and Apr 2021, across 1 billing code. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoBOON DENTAL ALLIANCE P.A.
FORT STOCKTON, TX 79735
FORT STOCKTON, TX 79735
33aNPI1306065693assigned 04/24/2007
33bProvider typeProsthodontist
28Total paid$340.44
24GClaims15
24DCodes billed1
24AFirst – last monthApr 2021 – Apr 2021
Compared with peers
Next to other Prosthodontist providers in Texas
Rank by total paid#10 of 13
Median peer was paid$44K
This provider vs. median0.0×
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 | 15 | $340.44 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 100% | 15 | 12 | $340.44 |
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 officialTHAMMASITHIBOON, PRASITH (OWNER)