Dental
Red Oak Smile Center PLLC
Red Oak Smile Center PLLC was paid $54K by Medicaid between May 2021 and Oct 2024, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.
33Billing provider infoRED OAK SMILE CENTER PLLC
RED OAK, TX 75154
RED OAK, TX 75154
33aNPI1396204814assigned 03/14/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$54K
24GClaims4,434
24DCodes billed9
24AFirst – last monthMay 2021 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,308 of 2,774
Median peer was paid$43K
This provider vs. median1.3×
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 | 254 | $2K | |
| 2022 | 1,080 | $12K | |
| 2023 | 2,060 | $27K | |
| 2024incomplete | 1,040 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 456 | 402 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 18% | 1,120 | 497 | $10K |
| D0274 | Bitewings - four radiographic images | 14% | 365 | 317 | $8K |
| D1110 | Prophylaxis - adult | 12% | 163 | 135 | $6K |
| D1206 | Topical application of fluoride varnish | 12% | 540 | 489 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 607 | 537 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 185 | 174 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 65 | 52 | $2K |
| D0603 | 0% | 933 | 852 | $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 officialSADEDDIN, KHALID (OWNER)