Dental
Ideal Dental of Roanoke PLLC
Ideal Dental of Roanoke PLLC was paid $100.48 by Medicaid between Mar 2023 and Nov 2023, across 2 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 100% of everything it billed.
33Billing provider infoIDEAL DENTAL OF ROANOKE PLLC
ROANOKE, TX 76262
ROANOKE, TX 76262
33aNPI1306225529assigned 05/20/2015
33bProvider typeDentist
28Total paid$100.48
24GClaims25
24DCodes billed2
24AFirst – last monthMar 2023 – Nov 2023
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#1,581 of 1,678
Median peer was paid$35K
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 | |
|---|---|---|---|
| 2023 | 25 | $100.48 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 100% | 12 | 12 | $100.48 |
| D0350 | 0% | 13 | 13 | $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 officialPATEL, SHALIN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Milestone Dental, PLLC | Arlington, TX | $285.69 |
| Ideal Dental of Clifford Crossing PLLC | Fort Worth, TX | $132.30 |
| Ideal Dental of Mansfield PLLC | Dallas, TX | $117.60 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.