Clinic
South Texas Dentistry, PLLC
South Texas Dentistry, PLLC was paid $404K by Medicaid between Oct 2020 and Dec 2024, across 21 billing codes. Its largest line is D0120, dental checkup, returning patient — 17% of everything it billed.
33Billing provider infoSOUTH TEXAS DENTISTRY, PLLC
MCALLEN, TX 78504
MCALLEN, TX 78504
33aNPI1356787766assigned 05/13/2013
33bProvider typeDental Clinic/Center
28Total paid$404K
24GClaims20,242
24DCodes billed21
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#82 of 255
Median peer was paid$110K
This provider vs. median3.7×
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 | 500 | $9K | |
| 2021 | 5,675 | $138K | |
| 2022 | 5,789 | $119K | |
| 2023 | 5,098 | $87K | |
| 2024incomplete | 3,180 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 2,580 | 2,504 | $69K |
| D1110 | Prophylaxis - adult | 16% | 1,246 | 1,221 | $63K |
| D0274 | Bitewings - four radiographic images | 14% | 1,860 | 1,808 | $57K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 484 | 242 | $47K |
| D0220 | Intraoral - periapical first radiographic image | 9.3% | 3,284 | 3,210 | $37K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.5% | 3,445 | 3,023 | $34K |
| D1208 | Topical application of fluoride, excluding varnish | 6.7% | 1,919 | 1,898 | $27K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.3% | 631 | 622 | $22K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 2.5% | 203 | 32 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 284 | 269 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 131 | 78 | $9K |
| D0272 | Bitewings - two radiographic images | 1.9% | 356 | 352 | $8K |
9 more codes
| D0330 | Panoramic radiographic image | <1% | 169 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 138 | $3K |
| D9222 | <1% | 36 | $3K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 15 | $1K |
| D1351 | Sealant - per tooth | <1% | 45 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $244.27 |
| D0603 | 0% | 2,158 | $0.00 | |
| D0601 | 0% | 1,020 | $0.00 | |
| D0602 | 0% | 225 | $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 officialGARCIA, DAMIEN (OWNER/MANAGER)