Dental
Gulfside Dental Port Arthur PLLC
Gulfside Dental Port Arthur PLLC was paid $1.39M by Medicaid between Aug 2020 and Dec 2024, across 18 billing codes. Its largest line is D1351, Sealant - per tooth — 28% of everything it billed.
33Billing provider infoGULFSIDE DENTAL PORT ARTHUR PLLC
PORT ARTHUR, TX 77640
PORT ARTHUR, TX 77640
33aNPI1316325616assigned 05/07/2015
33bProvider typeDentist
28Total paid$1.39M
24GClaims60,372
24DCodes billed18
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#148 of 1,678
Median peer was paid$35K
This provider vs. median40×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PU, MARY controls 20+ related entities in our dataset. Read more
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 | 1,919 | $46K | |
| 2021 | 13,960 | $317K | |
| 2022 | 16,371 | $380K | |
| 2023 | 15,590 | $377K | |
| 2024incomplete | 12,532 | $269K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 28% | 14,911 | 2,564 | $388K |
| D0145 | Oral evaluation for a patient under three years of age | 12% | 1,238 | 1,216 | $167K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 14,020 | 2,717 | $147K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.6% | 3,924 | 3,803 | $134K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.9% | 4,086 | 3,953 | $110K |
| D1110 | Prophylaxis - adult | 6.6% | 1,816 | 1,754 | $92K |
| D1208 | Topical application of fluoride, excluding varnish | 5.7% | 5,767 | 5,597 | $79K |
| D0274 | Bitewings - four radiographic images | 4.2% | 1,812 | 1,766 | $59K |
| D0210 | Intraoral - complete series of radiographic images | 3.9% | 856 | 814 | $54K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.8% | 411 | 191 | $39K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 1,107 | 1,051 | $35K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 2,825 | 2,731 | $33K |
6 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.3% | 255 | $31K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 213 | $15K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 54 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 100 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 13 | $191.10 |
| D0603 | 0% | 6,964 | $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 officialPU, MARY (VP OF FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Red Rock Dental-Farmington | Irving, TX | $3.59M |
| Sage Dental | Baytown, TX | $2.35M |
| Peppermint Dental-Montgomery LLC | Albuquerque, NM | $2.14M |
| Sage Dental-Deer Park PLLC | La Porte, TX | $1.87M |
| Vinh Ngo Dentistry PLLC | Victoria, TX | $1.65M |
| Element Dental-Bryan PLLC | Bryan, TX | $1.57M |
| Fusion Dental | Irving, TX | $1.49M |
| Element Dental-Conroe PLLC | Irving, TX | $1.49M |
| Peppermint Dental-Rio Bravo LLC | Albuquerque, NM | $1.29M |
| Fresh Dental-Shreveport | Irving, TX | $1.27M |
| Fresh Dental-Bossier City | Irving, TX | $1.21M |
| Peppermint Dental-Sherman PLLC | Sherman, TX | $1.17M |
| Element Dental PLLC | Lufkin, TX | $1.06M |
| Rio Dental and Orthodontics LLC | Rio Rancho, NM | $1.00M |
| Element Dental-Humble PLLC | Humble, TX | $942K |
| Gulfside Dental | Beaumont, TX | $939K |
| Legend Dental-Georgetown | Georgetown, TX | $919K |
| Bliss Dental PLLC | Odessa, TX | $827K |
| Bliss Dental Lubbock PLLC | Lubbock, TX | $826K |
| Archstone Dental-Granbury PLLC | Granbury, TX | $817K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.