Dental
Shine Dental PLLC
Shine Dental PLLC was paid $118K by Medicaid between Nov 2020 and Jun 2023, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 19% of everything it billed.
33Billing provider infoSHINE DENTAL PLLC
FREEPORT, TX 77541
FREEPORT, TX 77541
33aNPI1457727109assigned 08/17/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$118K
24GClaims8,184
24DCodes billed13
24AFirst – last monthNov 2020 – Jun 2023
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,000 of 2,774
Median peer was paid$43K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2020 | 94 | $871.64 | |
| 2021 | 2,875 | $36K | |
| 2022 | 3,783 | $59K | |
| 2023 | 1,432 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 950 | 845 | $23K |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 737 | 653 | $22K |
| D0274 | Bitewings - four radiographic images | 13% | 520 | 462 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 1,110 | 988 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 9.7% | 1,096 | 965 | $11K |
| D1110 | Prophylaxis - adult | 9.4% | 225 | 214 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.5% | 1,042 | 921 | $10K |
| D0145 | Oral evaluation for a patient under three years of age | 3.0% | 25 | 25 | $4K |
| D1351 | Sealant - per tooth | 2.9% | 127 | 24 | $3K |
| D0272 | Bitewings - two radiographic images | 2.8% | 170 | 145 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 53 | 53 | $2K |
| D1330 | <1% | 784 | 686 | $196.00 |
1 more codes
| D0603 | 0% | 1,345 | $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 officialROMERO, ROSS (PRESIDENT)