Clinic
Yellowstone Dental PLLC
Yellowstone Dental PLLC was paid $471K by Medicaid between May 2023 and Dec 2024, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.
33Billing provider infoYELLOWSTONE DENTAL PLLC
DICKINSON, TX 77539
DICKINSON, TX 77539
33aNPI1447957238assigned 02/13/2023
33bProvider typeDental Clinic/Center
28Total paid$471K
24GClaims19,021
24DCodes billed18
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#73 of 255
Median peer was paid$110K
This provider vs. median4.3×
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 | |
|---|---|---|---|
| 2023 | 8,676 | $231K | |
| 2024incomplete | 10,345 | $240K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 753 | 350 | $74K |
| D1110 | Prophylaxis - adult | 9.4% | 868 | 845 | $44K |
| D1351 | Sealant - per tooth | 9.1% | 1,662 | 388 | $43K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.5% | 1,148 | 1,126 | $40K |
| D0274 | Bitewings - four radiographic images | 8.4% | 1,220 | 1,181 | $39K |
| D0145 | Oral evaluation for a patient under three years of age | 8.0% | 285 | 283 | $38K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.0% | 3,519 | 1,927 | $37K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 1,316 | 1,278 | $36K |
| D1206 | Topical application of fluoride varnish | 5.6% | 1,890 | 1,850 | $27K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.4% | 332 | 186 | $26K |
| D0220 | Intraoral - periapical first radiographic image | 5.4% | 2,177 | 2,074 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 703 | 689 | $24K |
6 more codes
| D0272 | Bitewings - two radiographic images | 3.2% | 659 | $15K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 19 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 89 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 14 | $225.36 |
| D1330 | <1% | 36 | $12.50 | |
| D0603 | 0% | 2,331 | $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 officialPATEL, ARPITKUMAR (OWNER)