Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › College Station › NPI 1386924694
Clinic

Brazos Valley Smiles, PC

Brazos Valley Smiles, PC was paid $2.54M by Medicaid between Oct 2020 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.

33Billing provider infoBRAZOS VALLEY SMILES, PC
COLLEGE STATION, TX 77845
33aNPI1386924694assigned 08/18/2011
33bProvider typeDental Clinic/Center
28Total paid$2.54M
24GClaims108,589
24DCodes billed21
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Dental Clinic/Center providers in Texas

Rank by total paid#10 of 255
Median peer was paid$110K
This provider vs. median23×

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

$0$50K$100K2018201920202021202220232024
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
20201,859$39K
202124,158$563K
202226,429$627K
202333,032$767K
2024incomplete23,111$541K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 21% 16,787 15,769 $542K
D0145 Oral evaluation for a patient under three years of age 21% 4,547 4,326 $526K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 18% 17,597 16,597 $457K
D1206 Topical application of fluoride varnish 10% 19,916 18,662 $257K
D0272 Bitewings - two radiographic images 6.1% 7,931 7,366 $155K
D1110 Prophylaxis - adult 5.7% 2,984 2,835 $144K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4.4% 1,385 853 $113K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.4% 3,819 3,262 $87K
D1351 Sealant - per tooth 2.7% 2,941 738 $68K
D0150 Comprehensive oral evaluation - new or established patient 2.2% 1,874 1,720 $55K
D0330 Panoramic radiographic image 1.1% 839 795 $27K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 309 217 $22K
9 more codes
D7140 Extraction, erupted tooth or exposed root <1% 522 $21K
D0140 Limited oral evaluation - problem focused <1% 1,256 $21K
D0274 Bitewings - four radiographic images <1% 545 $17K
D0220 Intraoral - periapical first radiographic image <1% 1,258 $13K
D2930 Prefabricated stainless steel crown - primary tooth <1% 64 $9K
D0210 Intraoral - complete series of radiographic images <1% 43 $3K
D0601 0% 10,420 $0.00
D0603 0% 13,302 $0.00
D0602 0% 250 $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 officialSUKKAWALA, KETAN (PRESIDENT)
Same official

Other billing entities under SUKKAWALA, KETAN

Full network →
ProviderLocationPaid
HCDC Professionals PLLCHouston, TX$28.22M
DFW Dental TeamDallas, TX$15.54M
Sacs ProfessionalsSan Antonio, TX$4.33M
Colorado Dental Team ProfessionalWestminster, CO$39K

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