Canyon Lake Dental PLLC
Canyon Lake Dental PLLC was paid $32K by Medicaid between Apr 2021 and Oct 2024, across 14 billing codes. Its largest line is D1351, Sealant - per tooth — 29% of everything it billed.
CANYON LAKE, TX 78133
Next to other General Practice Dentistry providers in Texas
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 160 | $2K | |
| 2022 | 864 | $16K | |
| 2023 | 203 | $4K | |
| 2024incomplete | 355 | $10K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 29% | 428 | 47 | $9K |
| D0145 | Oral evaluation for a patient under three years of age | 19% | 47 | 45 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 112 | 112 | $4K |
| D1206 | Topical application of fluoride varnish | 8.5% | 209 | 205 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.1% | 81 | 81 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.4% | 91 | 88 | $2K |
| D1110 | Prophylaxis - adult | 5.0% | 37 | 37 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.2% | 184 | 94 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 103 | 102 | $922.48 |
| D0210 | Intraoral - complete series of radiographic images | 2.2% | 12 | 12 | $699.34 |
| D1208 | Topical application of fluoride, excluding varnish | 1.2% | 28 | 27 | $382.20 |
| D0274 | Bitewings - four radiographic images | <1% | 13 | 13 | $255.99 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Port Arthur Smiles INC | Port Arthur, TX | $2.21M |
| Orange Smiles INC | West Orange, TX | $1.78M |
| Willis Family Dental PLLC | Humble, TX | $1.41M |
| Gun Barrel Smiles PLLC | Gun Barrel City, TX | $1.13M |
| Henderson Smiles PLLC | Humble, TX | $1.07M |
| Mexia Dental PLLC | Mexia, TX | $1.01M |
| Santa Fe Dental PLLC | Humble, TX | $932K |
| Lindale Smiles | Lindale, TX | $664K |
| Alvin Family Dental | Alvin, TX | $613K |
| 3Cdental Orange PLLC | Orange, TX | $605K |
| Potranco Smiles PLLC | Humble, TX | $201K |
| Castroville Dental PLLC | Castroville, TX | $162K |
| Marbach Smiles PLLC | San Antonio,, TX | $159K |
| Converse Smiles PLLC | San Antonio, TX | $45K |
| Shaenfield Dental PLLC | San Antonio, TX | $42K |
| Gloss Dental of Rosenberg PLLC | Rosenberg, TX | $29K |
| Camp Bowie Smiles PLLC | Fort Worth, TX | $15K |
| Rosharon Smiles PLLC | Rosharon, TX | $12K |
| Gloss Dental | Houston, TX | $837.46 |
| Midway Crossing Smiles | Dallas, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.