Dental
Mbibi, Sandra
Mbibi, Sandra was paid $949K by Medicaid between Apr 2019 and Nov 2024, across 24 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 18% of everything it billed.
33Billing provider infoMBIBI, SANDRA
LEAGUE CITY, TX 77573
LEAGUE CITY, TX 77573
33aNPI1437429339assigned 01/09/2012
33bProvider typePediatric Dentist
28Total paid$949K
24GClaims32,561
24DCodes billed24
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#194 of 693
Median peer was paid$252K
This provider vs. median3.8×
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 | |
|---|---|---|---|
| 2019 | 12 | $0.00 | |
| 2020 | 1,854 | $40K | |
| 2021 | 14,849 | $374K | |
| 2022 | 162 | $0.00 | |
| 2023 | 11,435 | $385K | |
| 2024incomplete | 4,249 | $150K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 18% | 1,227 | 283 | $168K |
| D0145 | Oral evaluation for a patient under three years of age | 15% | 1,084 | 1,070 | $145K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 1,171 | 468 | $106K |
| D1351 | Sealant - per tooth | 10% | 3,970 | 771 | $99K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.3% | 2,691 | 2,601 | $88K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.7% | 2,094 | 2,004 | $54K |
| D0272 | Bitewings - two radiographic images | 5.3% | 2,534 | 2,449 | $51K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 1,126 | 1,079 | $34K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 3,370 | 3,210 | $30K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.8% | 3,233 | 3,001 | $26K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 283 | 143 | $21K |
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 1,460 | 1,423 | $19K |
12 more codes
| D1206 | Topical application of fluoride varnish | 2.0% | 1,462 | $19K |
| D0330 | Panoramic radiographic image | 1.9% | 565 | $18K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.8% | 208 | $17K |
| D1110 | Prophylaxis - adult | 1.7% | 346 | $16K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.3% | 488 | $13K |
| D0274 | Bitewings - four radiographic images | 1.1% | 365 | $11K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 80 | $6K |
| D9248 | <1% | 43 | $5K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 123 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 20 | $2K |
| D0603 | 0% | 4,596 | $0.00 | |
| D0602 | 0% | 22 | $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.