Dental
Spearmint Kids and Orthodontics PLLC
Spearmint Kids and Orthodontics PLLC was paid $562K by Medicaid between Apr 2023 and Dec 2024, across 22 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 23% of everything it billed.
33Billing provider infoSPEARMINT KIDS AND ORTHODONTICS PLLC
WICHITA FALLS, TX 76308
WICHITA FALLS, TX 76308
33aNPI1457004178assigned 02/02/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$562K
24GClaims17,924
24DCodes billed22
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#487 of 2,774
Median peer was paid$43K
This provider vs. median13×
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 | 6,705 | $216K | |
| 2024incomplete | 11,219 | $345K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 23% | 974 | 937 | $128K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21% | 1,285 | 726 | $119K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 1,794 | 1,717 | $59K |
| D1351 | Sealant - per tooth | 7.2% | 1,649 | 416 | $41K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.9% | 1,229 | 1,168 | $39K |
| D1206 | Topical application of fluoride varnish | 5.2% | 2,176 | 2,094 | $29K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.5% | 1,002 | 918 | $25K |
| D0210 | Intraoral - complete series of radiographic images | 4.5% | 402 | 380 | $25K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.2% | 896 | 862 | $24K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 262 | 159 | $20K |
| D0272 | Bitewings - two radiographic images | 2.9% | 757 | 729 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 801 | 763 | $9K |
10 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 762 | $8K |
| D1110 | Prophylaxis - adult | 1.3% | 151 | $7K |
| D9248 | <1% | 44 | $5K | |
| D0274 | Bitewings - four radiographic images | <1% | 141 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 20 | $1K |
| D0350 | <1% | 35 | $510.95 | |
| D1354 | <1% | 33 | $338.88 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | $225.36 |
| D0603 | 0% | 3,471 | $0.00 | |
| D0602 | 0% | 28 | $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 officialGARCIA, JENNY (LEAD OF CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| College Station Dentistry and Orthodontics PLLC | College Station, TX | $67K |
| South Tyler Family Dentistry PLLC | Tyler, TX | $34K |
| Marketside Street Dental LLC | Buckeye, AZ | $28K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.