Dental
Dental Depot of Lewisville, PLLC
Dental Depot of Lewisville, PLLC was paid $29K by Medicaid between Mar 2022 and Dec 2024, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoDENTAL DEPOT OF LEWISVILLE, PLLC
LEWISVILLE, TX 75067
LEWISVILLE, TX 75067
33aNPI1437767290assigned 07/17/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$29K
24GClaims2,148
24DCodes billed11
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,537 of 2,774
Median peer was paid$43K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2022 | 314 | $4K | |
| 2023 | 820 | $11K | |
| 2024incomplete | 1,014 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 194 | 179 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 230 | 215 | $6K |
| D1206 | Topical application of fluoride varnish | 18% | 441 | 403 | $5K |
| D1110 | Prophylaxis - adult | 12% | 80 | 74 | $4K |
| D0274 | Bitewings - four radiographic images | 8.0% | 136 | 112 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 6.2% | 214 | 199 | $2K |
| D1351 | Sealant - per tooth | 5.4% | 81 | 16 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 51 | 46 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.9% | 206 | 171 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 13 | 13 | $210.42 |
| D0603 | 0% | 502 | 464 | $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 officialKANA, HIMESH (MANAGING PARTNER DENTAL DEPOT DFW)
| Provider | Location | Paid |
|---|---|---|
| The Main Street Dental Depot, PLLC | The Colony, TX | $92K |
| Dental Depot of Little Elm, PLLC | Aubrey, TX | $73K |
| Dental Depot of Mckinney PLLC | Mckinney, TX | $3K |
| Dental Depot of Highland Village | Highland Village, TX | $214.90 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.