Dental
121 Dental Care, PA
121 Dental Care, PA was paid $66K by Medicaid between Dec 2020 and Aug 2024, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 32% of everything it billed.
33Billing provider info121 DENTAL CARE, PA
LEWISVILLE, TX 75057
LEWISVILLE, TX 75057
33aNPI1346483062assigned 04/10/2009
33bProvider typeDentist
28Total paid$66K
24GClaims3,696
24DCodes billed13
24AFirst – last monthDec 2020 – Aug 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#712 of 1,678
Median peer was paid$35K
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 | 79 | $1K | |
| 2021 | 866 | $15K | |
| 2022 | 1,255 | $26K | |
| 2023 | 993 | $16K | |
| 2024incomplete | 503 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 32% | 740 | 737 | $21K |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 394 | 393 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 19% | 860 | 857 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 7.1% | 386 | 383 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.7% | 356 | 339 | $4K |
| D1110 | Prophylaxis - adult | 4.6% | 56 | 56 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.6% | 27 | 13 | $2K |
| D1351 | Sealant - per tooth | 2.5% | 58 | 13 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.8% | 43 | 40 | $1K |
| D0272 | Bitewings - two radiographic images | 1.6% | 46 | 46 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 12 | 12 | $380.71 |
| D0603 | 0% | 612 | 612 | $0.00 |
1 more codes
| D0602 | 0% | 106 | $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 officialVAHADI, AFSHIN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Aesthetic Dentistry, PA | Frisco, TX | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.