Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Port Lavaca › NPI 1407267487
Dental

Port Lavaca Smiles PLLC

Port Lavaca Smiles PLLC was paid $99K by Medicaid between Nov 2020 and Sep 2024, across 18 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.

33Billing provider infoPORT LAVACA SMILES PLLC
PORT LAVACA, TX 77979
33aNPI1407267487assigned 05/13/2014
33bProvider typeDentist
28Total paid$99K
24GClaims4,978
24DCodes billed18
24AFirst – last monthNov 2020 – Sep 2024
Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#637 of 1,678
Median peer was paid$35K
This provider vs. median2.9×

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 RASTOGI, GEETIKA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
2020109$2K
20212,217$41K
20221,150$31K
20231,199$22K
2024incomplete303$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 18% 647 636 $18K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 17% 172 49 $17K
D1120 Dental cleaning, childProphylaxis - child 15% 434 429 $15K
D1208 Topical application of fluoride, excluding varnish 11% 757 747 $11K
D0220 Intraoral - periapical first radiographic image 8.7% 714 701 $9K
D0230 Intraoral - periapical each additional radiographic image 8.2% 748 680 $8K
D0274 Bitewings - four radiographic images 6.3% 186 183 $6K
D1110 Prophylaxis - adult 4.8% 92 88 $5K
D1351 Sealant - per tooth 4.0% 140 28 $4K
D0272 Bitewings - two radiographic images 3.0% 129 129 $3K
D0145 Oral evaluation for a patient under three years of age 1.7% 12 12 $2K
D0150 Comprehensive oral evaluation - new or established patient <1% 19 18 $630.85
6 more codes
D1330 <1% 51 $576.75
D0160 <1% 39 $538.20
D0350 <1% 42 $499.14
D0603 <1% 448 $9.00
D0601 <1% 176 $0.03
D0602 0% 172 $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 officialRASTOGI, GEETIKA (OWNER)
Same official

Other billing entities under RASTOGI, GEETIKA

Full network →
ProviderLocationPaid
Crosby Family Dental INCCrosby, TX$949K
Jasper Family DentalJasper, TX$945K
Splendora Dental PLLCSplendora, TX$710K
Liberty Smiles, PLLCLiberty, TX$518K
Rockdale Dental PLLCRockdale, TX$457K
Springtown Smiles PLLCSpringtown, TX$388K
Elgin Cube Smiles PLLCElgin, TX$248K
Mathis Dental PLLCMathis, TX$222K
Jasper Family Dental PLLCBeaumont, TX$170K
Flour Bluff Dental PLLCSan Antonio, TX$154K
Grangerland Dental PLLCConroe, TX$109K
Smilepoint LLCAlbuquerque, NM$90K
Sinton Dental PLLCSinton, TX$88K
Calallen Dental & Orthodontics PLLCCorpus Christi, TX$65K
Westgreen Dental PLLCCypress, TX$39K
Aransas Dental PLLCAransas Pass, TX$37K
Lytle Dental PLLCLytle, TX$35K
Azle Cube Smiles PLLCAzle, TX$21K
Benbrook Smiles PLLCBenbrook, TX$8K
Devine Dental & Orthodontics PLLCDevine, TX$4K

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