Dental
Rio Grande City Dental PLLC
Rio Grande City Dental PLLC was paid $7.62M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 14% of everything it billed.
33Billing provider infoRIO GRANDE CITY DENTAL PLLC
RIO GRANDE CITY, TX 78582
RIO GRANDE CITY, TX 78582
33aNPI1316383482assigned 05/16/2013
33bProvider typeDentist
28Total paid$7.62M
24GClaims251,013
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#19 of 1,678
Median peer was paid$35K
This provider vs. median221×
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 | |
|---|---|---|---|
| 2018 | 403 | $4K | |
| 2019 | 742 | $9K | |
| 2020 | 6,227 | $192K | |
| 2021 | 52,104 | $1.57M | |
| 2022 | 62,249 | $1.90M | |
| 2023 | 70,885 | $2.15M | |
| 2024incomplete | 58,403 | $1.80M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 7,139 | 1,576 | $1.04M |
| D0145 | Oral evaluation for a patient under three years of age | 13% | 7,331 | 7,301 | $1.03M |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 10% | 10,185 | 4,274 | $780K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.8% | 23,657 | 23,538 | $672K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.4% | 17,915 | 17,833 | $643K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.2% | 5,876 | 2,662 | $548K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.2% | 43,050 | 24,308 | $471K |
| D1208 | Topical application of fluoride, excluding varnish | 4.7% | 25,019 | 24,875 | $359K |
| D1110 | Prophylaxis - adult | 4.7% | 6,731 | 6,692 | $359K |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 25,587 | 25,324 | $304K |
| D1351 | Sealant - per tooth | 4.0% | 11,371 | 2,558 | $302K |
| D0272 | Bitewings - two radiographic images | 3.3% | 11,242 | 11,182 | $254K |
19 more codes
| D0274 | Bitewings - four radiographic images | 2.8% | 6,564 | $216K |
| D9248 | 2.5% | 1,637 | $189K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.6% | 1,487 | $122K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 2,649 | $69K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,668 | $56K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 678 | $44K |
| D0160 | <1% | 2,128 | $31K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 259 | $25K |
| D0330 | Panoramic radiographic image | <1% | 928 | $25K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,279 | $23K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 363 | $18K |
| D1330 | <1% | 1,520 | $16K | |
| D9222 | <1% | 165 | $11K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 116 | $7K |
| D0350 | <1% | 343 | $4K | |
| D9612 | <1% | 60 | $2K | |
| D7111 | <1% | 95 | $1K | |
| D3120 | <1% | 585 | $114.68 | |
| D0603 | 0% | 33,386 | $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 officialDUNKLIN, WILLIAM (OWNER)