Dental
Adam Divincenzo DMD PA
Adam Divincenzo DMD PA was paid $538K by Medicaid between Dec 2020 and Dec 2024, across 14 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 18% of everything it billed.
33Billing provider infoADAM DIVINCENZO DMD PA
KINGWOOD, TX 77339
KINGWOOD, TX 77339
33aNPI1366943524assigned 02/23/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$538K
24GClaims25,732
24DCodes billed14
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#500 of 2,774
Median peer was paid$43K
This provider vs. median13×
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 | 233 | $5K | |
| 2021 | 4,090 | $86K | |
| 2022 | 7,673 | $171K | |
| 2023 | 7,713 | $159K | |
| 2024incomplete | 6,023 | $116K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 18% | 742 | 701 | $97K |
| D1351 | Sealant - per tooth | 15% | 3,054 | 376 | $78K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 6,565 | 2,353 | $63K |
| D1110 | Prophylaxis - adult | 12% | 1,222 | 1,152 | $62K |
| D0274 | Bitewings - four radiographic images | 10% | 1,696 | 1,599 | $54K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.4% | 1,701 | 1,594 | $45K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.8% | 1,249 | 1,179 | $42K |
| D1208 | Topical application of fluoride, excluding varnish | 6.3% | 2,488 | 2,344 | $34K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 2,585 | 2,437 | $30K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 735 | 689 | $24K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 43 | 25 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 145 | 137 | $3K |
2 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 officialDIVINCENZO, ADAM (OWNER/PRESIDENT)