Clinic
That's My Tooth PLLC
That's My Tooth PLLC was paid $155K by Medicaid between Dec 2020 and Feb 2024, across 15 billing codes. Its largest line is D1351, Sealant - per tooth — 21% of everything it billed.
33Billing provider infoTHAT'S MY TOOTH PLLC
ROSHARON, TX 77583
ROSHARON, TX 77583
33aNPI1518592831assigned 03/06/2020
33bProvider typeDental Clinic/Center
28Total paid$155K
24GClaims8,658
24DCodes billed15
24AFirst – last monthDec 2020 – Feb 2024
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#116 of 255
Median peer was paid$110K
This provider vs. median1.4×
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 | 87 | $2K | |
| 2021 | 2,080 | $33K | |
| 2022 | 3,231 | $58K | |
| 2023 | 3,108 | $60K | |
| 2024incomplete | 152 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 21% | 1,360 | 206 | $32K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 853 | 813 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.2% | 534 | 508 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 7.8% | 1,087 | 1,018 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.5% | 1,150 | 966 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.7% | 115 | 45 | $10K |
| D1206 | Topical application of fluoride varnish | 6.3% | 791 | 758 | $10K |
| D0274 | Bitewings - four radiographic images | 6.2% | 328 | 307 | $10K |
| D0272 | Bitewings - two radiographic images | 6.1% | 428 | 415 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.6% | 276 | 261 | $9K |
| D1110 | Prophylaxis - adult | 3.5% | 105 | 99 | $5K |
| D0145 | Oral evaluation for a patient under three years of age | 1.4% | 18 | 15 | $2K |
3 more codes
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 officialVERANUNT, CHARLENE (OWNER)