Dental
Blu Dental Group PC
Blu Dental Group PC was paid $27K by Medicaid between Feb 2021 and Nov 2023, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoBLU DENTAL GROUP PC
TYLER, TX 75701
TYLER, TX 75701
33aNPI1326559022assigned 10/20/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$27K
24GClaims1,454
24DCodes billed11
24AFirst – last monthFeb 2021 – Nov 2023
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,565 of 2,774
Median peer was paid$43K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2021 | 588 | $10K | |
| 2022 | 572 | $10K | |
| 2023 | 294 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 167 | 150 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 306 | 270 | $7K |
| D0274 | Bitewings - four radiographic images | 15% | 159 | 145 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 94 | 83 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 8.5% | 197 | 178 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.0% | 32 | 13 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 3.7% | 15 | 15 | $988.96 |
| D0272 | Bitewings - two radiographic images | 2.3% | 32 | 30 | $607.88 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 14 | 14 | $494.48 |
| D0601 | 0% | 204 | 198 | $0.00 | |
| D0603 | 0% | 234 | 203 | $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 officialKIM, TORI (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| HKDDS Smile, PLLC | Austin, TX | $375.05 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.