Dental
Dental Square PLLC
Dental Square PLLC was paid $81K by Medicaid between Sep 2020 and Aug 2021, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoDENTAL SQUARE PLLC
LUMBERTON, TX 77657
LUMBERTON, TX 77657
33aNPI1336556257assigned 07/14/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$81K
24GClaims4,330
24DCodes billed17
24AFirst – last monthSep 2020 – Aug 2021
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,166 of 2,774
Median peer was paid$43K
This provider vs. median1.9×
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 | 754 | $15K | |
| 2021 | 3,576 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 372 | 353 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 417 | 395 | $11K |
| D1351 | Sealant - per tooth | 11% | 375 | 83 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 10% | 833 | 383 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.9% | 75 | 39 | $7K |
| D0145 | Oral evaluation for a patient under three years of age | 8.0% | 49 | 48 | $6K |
| D1206 | Topical application of fluoride varnish | 7.3% | 473 | 450 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 7.2% | 606 | 570 | $6K |
| D0274 | Bitewings - four radiographic images | 4.5% | 119 | 116 | $4K |
| D0272 | Bitewings - two radiographic images | 3.7% | 139 | 133 | $3K |
| D1110 | Prophylaxis - adult | 3.4% | 59 | 57 | $3K |
| D0330 | Panoramic radiographic image | 3.4% | 76 | 73 | $3K |
5 more codes
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 officialPATEL, TEJASH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Smile Square PLLC | Lake Jackson, TX | $275K |
| Dental World PLLC | Alice, TX | $277.26 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.