Dental
Smile123pllc
Smile123pllc was paid $312K by Medicaid between Sep 2022 and Dec 2024, across 20 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 16% of everything it billed.
33Billing provider infoSMILE123PLLC
ANGLETON, TX 77515
ANGLETON, TX 77515
33aNPI1457816431assigned 02/04/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$312K
24GClaims13,634
24DCodes billed20
24AFirst – last monthSep 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#680 of 2,774
Median peer was paid$43K
This provider vs. median7.3×
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 | |
|---|---|---|---|
| 2022 | 315 | $5K | |
| 2023 | 3,057 | $64K | |
| 2024incomplete | 10,262 | $243K |
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 | 16% | 358 | 358 | $50K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 1,154 | 1,146 | $41K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,325 | 1,318 | $37K |
| D1351 | Sealant - per tooth | 11% | 1,312 | 234 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.1% | 297 | 118 | $28K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.0% | 2,521 | 1,321 | $25K |
| D0274 | Bitewings - four radiographic images | 7.2% | 694 | 688 | $22K |
| D1206 | Topical application of fluoride varnish | 6.2% | 1,381 | 1,371 | $20K |
| D1110 | Prophylaxis - adult | 5.8% | 348 | 346 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 5.3% | 1,440 | 1,423 | $16K |
| D0272 | Bitewings - two radiographic images | 2.9% | 403 | 401 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 185 | 182 | $6K |
8 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 28 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 51 | $1K |
| D1330 | <1% | 96 | $1K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 47 | $690.90 |
| D0330 | Panoramic radiographic image | <1% | 12 | $470.09 |
| D0140 | Limited oral evaluation - problem focused | <1% | 15 | $261.04 |
| D0603 | 0% | 207 | $0.00 | |
| D0602 | 0% | 1,760 | $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 officialDUSANE, TANVI (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Sparkle123pllc | Rosenberg, TX | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.