Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Edinburg › NPI 1487151239
Dental

Edinburg Dentistry and Orthodontics PLLC

Edinburg Dentistry and Orthodontics PLLC was paid $38K by Medicaid between Nov 2020 and Nov 2024, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 29% of everything it billed.

33Billing provider infoEDINBURG DENTISTRY AND ORTHODONTICS PLLC
EDINBURG, TX 78539
33aNPI1487151239assigned 04/09/2018
28Total paid$38K
24GClaims3,554
24DCodes billed8
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#1,444 of 2,774
Median peer was paid$43K
This provider vs. median0.9×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
2020124$954.27
20211,036$11K
20221,194$15K
2023950$10K
2024incomplete250$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 29% 459 413 $11K
D0230 Intraoral - periapical each additional radiographic image 21% 854 394 $8K
D1208 Topical application of fluoride, excluding varnish 16% 485 444 $6K
D0220 Intraoral - periapical first radiographic image 15% 533 478 $6K
D1110 Prophylaxis - adult 9.3% 82 70 $4K
D0274 Bitewings - four radiographic images 5.8% 83 74 $2K
D1120 Dental cleaning, childProphylaxis - child 4.0% 50 48 $2K
D0603 0% 1,008 952 $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 officialRAMOS, PAOLA (CREDENTIALING COORDINATOR)
Same official

Other billing entities under RAMOS, PAOLA

Full network →
ProviderLocationPaid
Smyrna Family Dentistry PLLCSmyrna, TN$340K
Smart Dental Care Dutchtown LLCGeismar, LA$204K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.