Dental
Common Roots Family Dental, PC
Common Roots Family Dental, PC was paid $2K by Medicaid between Mar 2021 and Mar 2022, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 55% of everything it billed.
33Billing provider infoCOMMON ROOTS FAMILY DENTAL, PC
LEWISVILLE, TX 75067
LEWISVILLE, TX 75067
33aNPI1528307584assigned 02/11/2013
33bProvider typeDentist
28Total paid$2K
24GClaims108
24DCodes billed2
24AFirst – last monthMar 2021 – Mar 2022
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#1,323 of 1,678
Median peer was paid$35K
This provider vs. median0.1×
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 | 96 | $2K | |
| 2022 | 12 | $161.70 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 55% | 41 | 41 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 45% | 67 | 67 | $970.20 |
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 officialWOLFF, WHITNEY (OWNER)