SD Haltom City PLLC
SD Haltom City PLLC was paid $4K by Medicaid between Dec 2023 and Aug 2024, across 6 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 46% of everything it billed.
HALTOM CITY, TX 76117
Next to other General Practice Dentistry providers in Texas
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 63 | $1K | |
| 2024incomplete | 249 | $3K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 46% | 62 | 61 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 18% | 58 | 58 | $808.50 |
| D0230 | Intraoral - periapical each additional radiographic image | 18% | 79 | 31 | $806.23 |
| D1120 | Dental cleaning, childProphylaxis - child | 9.9% | 12 | 12 | $441.00 |
| D0220 | Intraoral - periapical first radiographic image | 7.9% | 31 | 31 | $351.68 |
| D0603 | 0% | 70 | 69 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| SD Greenville LLC | Greenville, TX | $719K |
| SD Corpus Christi PLLC | Corpus Christi, TX | $557K |
| SD- Roosevelt PC | San Antonio, TX | $314K |
| SD Texarkana | Texarkana, TX | $280K |
| SD- 4315Frederick PC | San Antonio, TX | $218K |
| Smiley Dental Singleton PLLC | Dallas, TX | $215K |
| SD- Potranco, PC | San Antonio, TX | $178K |
| Smiley Dental - University | Denton, TX | $114K |
| Smiley Dental Mccart PLLC | Fort Worth, TX | $55K |
| Smiley Dental Kemp PLLC | Wichita Falls, TX | $47K |
| SD Meadowbrook PLLC | Fort Worth, TX | $26K |
| Sd-Braun, PC | San Antonio, TX | $22K |
| Sd-933Schertz PC | Schertz, TX | $22K |
| Sd-Hwy 78 PC | San Antonio, TX | $20K |
| Sd-Dezavala PC | San Antonio, TX | $15K |
| Smiley Dental Lamar PLLC | Austin, TX | $12K |
| SD Saginaw PLLC | Saginaw, TX | $8K |
| SD Park Row PLLC | Arlington, TX | $6K |
| SD Valley Mills PLLC | Waco, TX | $3K |
| SD Park Lake PLLC | Waco, TX | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.