Dental
Exquisite Dental Smiles PLLC
Exquisite Dental Smiles PLLC was paid $5.33M by Medicaid between May 2021 and Dec 2024, across 29 billing codes. Its largest line is D1351, Sealant - per tooth — 14% of everything it billed.
33Billing provider infoEXQUISITE DENTAL SMILES PLLC
HOUSTON, TX 77039
HOUSTON, TX 77039
33aNPI1386242923assigned 10/15/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$5.33M
24GClaims178,036
24DCodes billed29
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#52 of 2,774
Median peer was paid$43K
This provider vs. median125×
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 | 16,476 | $601K | |
| 2022 | 45,430 | $1.46M | |
| 2023 | 56,660 | $1.59M | |
| 2024incomplete | 59,470 | $1.68M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 14% | 29,747 | 5,749 | $756K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 7,602 | 3,585 | $741K |
| D0145 | Oral evaluation for a patient under three years of age | 11% | 4,761 | 4,481 | $583K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 10% | 3,973 | 1,189 | $558K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.8% | 6,911 | 3,488 | $519K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.4% | 41,620 | 11,780 | $450K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.7% | 8,693 | 8,587 | $303K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.5% | 7,125 | 6,804 | $186K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.5% | 5,449 | 5,357 | $186K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.4% | 6,427 | 6,364 | $180K |
| D1208 | Topical application of fluoride, excluding varnish | 3.0% | 11,405 | 11,250 | $160K |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 12,722 | 12,482 | $152K |
17 more codes
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.8% | 1,822 | $147K |
| D0274 | Bitewings - four radiographic images | 2.4% | 3,885 | $129K |
| D1110 | Prophylaxis - adult | 2.3% | 2,407 | $123K |
| D0350 | <1% | 2,783 | $45K | |
| D0272 | Bitewings - two radiographic images | <1% | 1,876 | $42K |
| D9248 | <1% | 223 | $26K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 315 | $14K |
| D0140 | Limited oral evaluation - problem focused | <1% | 385 | $7K |
| D2330 | <1% | 89 | $7K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 51 | $5K |
| D2332 | <1% | 20 | $2K | |
| D7111 | <1% | 172 | $2K | |
| D1330 | <1% | 308 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 13 | $707.30 |
| D0330 | Panoramic radiographic image | <1% | 18 | $224.19 |
| D0603 | <1% | 17,218 | $0.04 | |
| D9986 | 0% | 16 | $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 officialMOMIN, MAHERIN (OWNER / DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Exquisite Dental Smiles II PLLC | Houston, TX | $1.46M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.