Dental
Guerrafamilydentistry,pllc
Guerrafamilydentistry,pllc was paid $650K by Medicaid between Nov 2020 and Dec 2024, across 19 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 21% of everything it billed.
33Billing provider infoGUERRAFAMILYDENTISTRY,PLLC
RIO GRANDE CITY, TX 78582
RIO GRANDE CITY, TX 78582
33aNPI1497006233assigned 09/19/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$650K
24GClaims24,757
24DCodes billed19
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#445 of 2,774
Median peer was paid$43K
This provider vs. median15×
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 | 375 | $10K | |
| 2021 | 5,599 | $153K | |
| 2022 | 6,822 | $180K | |
| 2023 | 6,665 | $175K | |
| 2024incomplete | 5,296 | $132K |
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 | 21% | 971 | 960 | $135K |
| D1110 | Prophylaxis - adult | 14% | 2,004 | 1,893 | $92K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 3,676 | 3,493 | $91K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.9% | 1,860 | 1,801 | $64K |
| D0274 | Bitewings - four radiographic images | 8.3% | 2,035 | 1,915 | $54K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.2% | 591 | 401 | $53K |
| D1208 | Topical application of fluoride, excluding varnish | 7.7% | 3,705 | 3,548 | $50K |
| D0330 | Panoramic radiographic image | 4.2% | 933 | 870 | $27K |
| D0272 | Bitewings - two radiographic images | 3.6% | 1,214 | 1,165 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 547 | 507 | $16K |
| D1351 | Sealant - per tooth | 2.4% | 614 | 131 | $15K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 221 | 161 | $14K |
7 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 1,054 | $9K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 70 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 143 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | $236.90 |
| D0601 | 0% | 2,329 | $0.00 | |
| D0603 | 0% | 2,009 | $0.00 | |
| D0602 | 0% | 769 | $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 officialGUERRA, IRIS (SUPERVISOR)