Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental Depot of Arlington PLLC

Dental Depot of Arlington PLLC was paid $31K by Medicaid between Mar 2023 and Dec 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.

33Billing provider infoDENTAL DEPOT OF ARLINGTON PLLC
ARLINGTON, TX 76017
33aNPI1386390680assigned 02/24/2022
28Total paid$31K
24GClaims2,437
24DCodes billed13
24AFirst – last monthMar 2023 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#1,522 of 2,774
Median peer was paid$43K
This provider vs. median0.7×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official ZISSA, GAYLON controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20231,211$15K
2024incomplete1,226$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 16% 161 151 $5K
D0150 Comprehensive oral evaluation - new or established patient 15% 177 156 $5K
D1208 Topical application of fluoride, excluding varnish 13% 309 296 $4K
D0230 Intraoral - periapical each additional radiographic image 8.8% 612 290 $3K
D0330 Panoramic radiographic image 8.2% 153 134 $3K
D1351 Sealant - per tooth 8.0% 118 13 $2K
D0274 Bitewings - four radiographic images 7.8% 208 192 $2K
D0210 Intraoral - complete series of radiographic images 6.9% 30 30 $2K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 6.1% 71 67 $2K
D0220 Intraoral - periapical first radiographic image 6.0% 342 310 $2K
D1110 Prophylaxis - adult 4.8% 30 28 $1K
D0602 0% 139 136 $0.00
1 more codes
D0603 0% 87 $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 officialZISSA, GAYLON (DIRECTOR OF PROVIDER RELATIONS)
Same official

Other billing entities under ZISSA, GAYLON

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.