Dental
Epic West Family Dnetistry PLLC
Epic West Family Dnetistry PLLC was paid $10K by Medicaid between Mar 2021 and Nov 2024, across 10 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 31% of everything it billed.
33Billing provider infoEPIC WEST FAMILY DNETISTRY PLLC
GRAND PRAIRIE, TX 75052
GRAND PRAIRIE, TX 75052
33aNPI1457992844assigned 10/07/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$10K
24GClaims978
24DCodes billed10
24AFirst – last monthMar 2021 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,897 of 2,774
Median peer was paid$43K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2021 | 260 | $3K | |
| 2022 | 275 | $3K | |
| 2023 | 200 | $1K | |
| 2024incomplete | 243 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 31% | 230 | 217 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 59 | 59 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 43 | 39 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.0% | 33 | 33 | $865.50 |
| D1351 | Sealant - per tooth | 8.2% | 44 | 12 | $790.72 |
| D1110 | Prophylaxis - adult | 7.4% | 16 | 13 | $713.44 |
| D0220 | Intraoral - periapical first radiographic image | 5.9% | 51 | 50 | $564.70 |
| D0274 | Bitewings - four radiographic images | 4.0% | 12 | 12 | $380.71 |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 31 | 25 | $287.75 |
| D0603 | 0% | 459 | 432 | $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 officialDINH, NINA (OWNER)