Dental
Andes Dental PLLC
Andes Dental PLLC was paid $734.87 by Medicaid between Oct 2021 and Feb 2022, across 3 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 52% of everything it billed.
33Billing provider infoANDES DENTAL PLLC
ODESSA, TX 79762
ODESSA, TX 79762
33aNPI1346759487assigned 09/20/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$734.87
24GClaims55
24DCodes billed3
24AFirst – last monthOct 2021 – Feb 2022
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#2,464 of 2,774
Median peer was paid$43K
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 | |
|---|---|---|---|
| 2021 | 42 | $584.93 | |
| 2022 | 13 | $149.94 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 52% | 12 | 12 | $385.01 |
| D1208 | Topical application of fluoride, excluding varnish | 48% | 28 | 28 | $349.86 |
| D0603 | 0% | 15 | 14 | $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 officialMIRYALA, KEERTHI (MEMBER)