Dental
DFW Dental Team
DFW Dental Team was paid $15.54M by Medicaid between Sep 2020 and Dec 2024, across 33 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 53% of everything it billed.
33Billing provider infoDFW DENTAL TEAM
DALLAS, TX 75240
DALLAS, TX 75240
33aNPI1427415116assigned 01/26/2016
33bProvider typePediatric Dentist
28Total paid$15.54M
24GClaims282,787
24DCodes billed33
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#1 of 693
Median peer was paid$252K
This provider vs. median62×
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 | |
|---|---|---|---|
| 2020 | 3,283 | $243K | |
| 2021 | 34,189 | $2.27M | |
| 2022 | 61,684 | $4.18M | |
| 2023 | 83,918 | $4.49M | |
| 2024incomplete | 99,713 | $4.35M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 53% | 59,048 | 10,533 | $8.30M |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 8.6% | 16,723 | 6,167 | $1.33M |
| D2934 | 7.0% | 7,692 | 2,549 | $1.09M | |
| D7140 | Extraction, erupted tooth or exposed root | 5.6% | 14,587 | 5,617 | $864K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.3% | 9,282 | 3,879 | $667K |
| D0210 | Intraoral - complete series of radiographic images | 3.5% | 8,625 | 8,506 | $539K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 14,310 | 13,871 | $456K |
| D1351 | Sealant - per tooth | 2.8% | 18,160 | 5,223 | $429K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 44,014 | 10,216 | $291K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 1.8% | 7,301 | 3,436 | $287K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 2,947 | 1,473 | $277K |
| D9222 | 1.3% | 3,682 | 3,549 | $196K |
21 more codes
| D0140 | Limited oral evaluation - problem focused | 1.1% | 10,645 | $178K |
| D2330 | <1% | 1,492 | $106K | |
| D1330 | <1% | 8,683 | $93K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 11,737 | $92K |
| D0350 | <1% | 6,126 | $66K | |
| D0272 | Bitewings - two radiographic images | <1% | 5,470 | $65K |
| D9612 | <1% | 1,755 | $52K | |
| D7240 | Removal of impacted tooth - completely bony | <1% | 178 | $47K |
| D0330 | Panoramic radiographic image | <1% | 788 | $43K |
| D1510 | <1% | 223 | $32K | |
| D9310 | <1% | 606 | $8K | |
| D0160 | <1% | 499 | $7K | |
| D0367 | <1% | 98 | $7K | |
| D7111 | <1% | 291 | $3K | |
| D0274 | Bitewings - four radiographic images | <1% | 103 | $2K |
| D9248 | <1% | 14 | $487.52 | |
| D0273 | <1% | 25 | $435.15 | |
| D0240 | <1% | 18 | $147.00 | |
| D3120 | <1% | 45 | $57.34 | |
| D0603 | <1% | 27,481 | $0.10 | |
| D1999 | 0% | 139 | $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 (OWNER)
| Provider | Location | Paid |
|---|---|---|
| HCDC Professionals PLLC | Houston, TX | $28.22M |
| Sacs Professionals | San Antonio, TX | $4.33M |
| Brazos Valley Smiles, PC | College Station, TX | $2.54M |
| Colorado Dental Team Professional | Westminster, CO | $39K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.