Dental
White Oak Smiles PLLC
White Oak Smiles PLLC was paid $753K by Medicaid between Nov 2020 and Dec 2024, across 18 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 12% of everything it billed.
33Billing provider infoWHITE OAK SMILES PLLC
WHITE OAK, TX 75693
WHITE OAK, TX 75693
33aNPI1386143097assigned 02/08/2018
33bProvider typeDentist
28Total paid$753K
24GClaims32,982
24DCodes billed18
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#262 of 1,678
Median peer was paid$35K
This provider vs. median22×
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 | 1,524 | $41K | |
| 2021 | 9,708 | $260K | |
| 2022 | 8,860 | $211K | |
| 2023 | 6,626 | $125K | |
| 2024incomplete | 6,264 | $115K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 8,726 | 2,572 | $93K |
| D0145 | Oral evaluation for a patient under three years of age | 12% | 656 | 647 | $90K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 967 | 475 | $85K |
| D1351 | Sealant - per tooth | 11% | 3,029 | 683 | $80K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.5% | 2,562 | 2,538 | $72K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.9% | 1,906 | 1,889 | $67K |
| D1110 | Prophylaxis - adult | 7.2% | 1,043 | 1,032 | $54K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.0% | 742 | 359 | $53K |
| D1208 | Topical application of fluoride, excluding varnish | 5.1% | 2,703 | 2,675 | $38K |
| D0272 | Bitewings - two radiographic images | 4.7% | 1,551 | 1,540 | $35K |
| D0220 | Intraoral - periapical first radiographic image | 4.7% | 3,104 | 3,055 | $35K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 457 | 451 | $15K |
6 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.0% | 578 | $15K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.1% | 105 | $9K |
| D0330 | Panoramic radiographic image | <1% | 139 | $5K |
| D1206 | Topical application of fluoride varnish | <1% | 360 | $5K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 16 | $692.76 |
| D0603 | <1% | 4,338 | $26.21 |
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 officialPURI, RAGHAV (DENTIST/OWNER)