League City Elite Dentistry

League City Elite Dentistry was paid $990.43 by Medicaid between Nov 2020 and Dec 2020, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 35% of everything it billed.

33Billing provider infoLEAGUE CITY ELITE DENTISTRY
LEAGUE CITY, TX 77573

33aNPI1326592601assigned 08/04/2016

33bProvider typeDentist

28Total paid$990.43

24GClaims102

24DCodes billed5

24AFirst – last monthNov 2020 – Dec 2020

Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#1,429 of 1,678

Median peer was paid$35K

This provider vs. median0.0×

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	102	$990.43

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	35%	13	13	$346.20
D0230	Intraoral - periapical each additional radiographic image	27%	24	16	$264.73
D1206	Topical application of fluoride varnish	19%	13	13	$191.10
D0220	Intraoral - periapical first radiographic image	19%	16	16	$188.40
D0603		0%	36	35	$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 officialFARNAGHI, AMIRPASHA (DENTIST/OWNER)