Michelle S. Mendoza, DDS, PA

Michelle S. Mendoza, DDS, PA was paid $12K by Medicaid between Jan 2021 and Jun 2021, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 29% of everything it billed.

33Billing provider infoMICHELLE S. MENDOZA, DDS, PA
FRISCO, TX 75034

33aNPI1528299211assigned 07/29/2009

33bProvider typeGeneral Practice Dentistry

28Total paid$12K

24GClaims544

24DCodes billed7

24AFirst – last monthJan 2021 – Jun 2021

Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#1,832 of 2,774

Median peer was paid$43K

This provider vs. median0.3×

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
2021	544	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	128	124	$3K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	28%	52	27	$3K
D1120	Dental cleaning, childProphylaxis - child	16%	57	55	$2K
D1208	Topical application of fluoride, excluding varnish	15%	130	125	$2K
D0272	Bitewings - two radiographic images	7.3%	39	38	$865.06
D1110	Prophylaxis - adult	5.0%	16	15	$588.32
D0602		0%	122	117	$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 officialMENDOZA, MICHELLE (PRESIDENT)