Dental
My Mouth Dental
My Mouth Dental was paid $59K by Medicaid between Dec 2020 and Nov 2024, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 57% of everything it billed.
33Billing provider infoMY MOUTH DENTAL
ROWLETT, TX 75088
ROWLETT, TX 75088
33aNPI1316224769assigned 11/14/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$59K
24GClaims2,748
24DCodes billed7
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,273 of 2,774
Median peer was paid$43K
This provider vs. median1.4×
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 | 63 | $2K | |
| 2021 | 653 | $16K | |
| 2022 | 712 | $15K | |
| 2023 | 826 | $17K | |
| 2024incomplete | 494 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 57% | 677 | 644 | $34K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 367 | 348 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 605 | 577 | $8K |
| D0274 | Bitewings - four radiographic images | 5.8% | 115 | 107 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 224 | 107 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 148 | 139 | $2K |
| D0603 | 0% | 612 | 580 | $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 officialMONTOYA, JOSE (PRESIDENT)