Phoenix Smiles, PLLC

Phoenix Smiles, PLLC was paid $360K by Medicaid between May 2024 and Dec 2024, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 28% of everything it billed.

33Billing provider infoPHOENIX SMILES, PLLC
ARLINGTON, TX 76012

33aNPI1518745488assigned 09/20/2023

33bProvider typeClinic/Center

28Total paid$360K

24GClaims10,374

24DCodes billed18

24AFirst – last monthMay 2024 – Dec 2024

Compared with peers

Next to other Clinic/Center providers in Texas

Rank by total paid#49 of 176

Median peer was paid$26K

This provider vs. median14×

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
2024incomplete	10,374	$360K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	28%	1,036	425	$101K
D2391	Resin-based composite - one surface, posterior, primary or permanent	21%	1,007	400	$77K
D2330		9.2%	460	226	$33K
D0150	Comprehensive oral evaluation - new or established patient	6.9%	810	783	$25K
D0230	Intraoral - periapical each additional radiographic image	5.5%	1,812	780	$20K
D1120	Dental cleaning, childProphylaxis - child	5.5%	569	544	$20K
D1351	Sealant - per tooth	5.0%	832	231	$18K
D0274	Bitewings - four radiographic images	4.2%	540	488	$15K
D1110	Prophylaxis - adult	3.5%	234	233	$13K
D1208	Topical application of fluoride, excluding varnish	3.0%	808	782	$11K
D2930	Prefabricated stainless steel crown - primary tooth	2.9%	73	45	$10K
D0220	Intraoral - periapical first radiographic image	2.7%	810	781	$10K

6 more codes

D0145	Oral evaluation for a patient under three years of age	1.1%	27	$4K
D0272	Bitewings - two radiographic images	<1%	84	$2K
D0120	Dental checkup, returning patient	<1%	51	$1K
D1330		<1%	267	$673.75
D7111		<1%	51	$573.50
D0602		0%	903	$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 officialSIDDIQUI, OSAMA (OWNER/PROVIDER)

Same official

Other billing entities under SIDDIQUI, OSAMA

Full network →

Provider	Location	Paid
Pecan Dental and Implant Solutions LLC	Richardson, TX	$1.66M

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