Dental
City Smiles Dental
City Smiles Dental was paid $74K by Medicaid between Dec 2020 and Nov 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.
33Billing provider infoCITY SMILES DENTAL
HOUSTON, TX 77079
HOUSTON, TX 77079
33aNPI1316393655assigned 05/05/2016
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$74K
24GClaims4,028
24DCodes billed10
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Texas
Rank by total paid#41 of 87
Median peer was paid$54K
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 | 24 | $264.77 | |
| 2021 | 708 | $13K | |
| 2022 | 1,289 | $23K | |
| 2023 | 1,189 | $22K | |
| 2024incomplete | 818 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 635 | 625 | $17K |
| D1110 | Prophylaxis - adult | 17% | 235 | 231 | $12K |
| D0274 | Bitewings - four radiographic images | 16% | 407 | 399 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 759 | 743 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 744 | 731 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 10% | 773 | 734 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.0% | 172 | 170 | $6K |
| D0601 | 0% | 97 | 95 | $0.00 | |
| D0602 | 0% | 165 | 162 | $0.00 | |
| D0603 | 0% | 41 | 41 | $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 officialSALAS, GUSTAVO (CEO)
| Provider | Location | Paid |
|---|---|---|
| Gustavo Salas DDS MS PLLC | Katy, TX | $230K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.