Dental
Smiles of Round Rock PA
Smiles of Round Rock PA was paid $143K by Medicaid between Jul 2019 and Mar 2021, across 17 billing codes. Its largest line is D1351, Sealant - per tooth — 20% of everything it billed.
33Billing provider infoSMILES OF ROUND ROCK PA
ROUND ROCK, TX 78664
ROUND ROCK, TX 78664
33aNPI1538289970assigned 03/30/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$143K
24GClaims5,571
24DCodes billed17
24AFirst – last monthJul 2019 – Mar 2021
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#933 of 2,774
Median peer was paid$43K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2019 | 113 | $2K | |
| 2020 | 2,026 | $55K | |
| 2021 | 3,432 | $86K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 20% | 1,139 | 210 | $29K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 123 | 37 | $18K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 541 | 535 | $15K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.2% | 330 | 326 | $12K |
| D1110 | Prophylaxis - adult | 7.3% | 200 | 198 | $10K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 6.9% | 120 | 37 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 5.7% | 576 | 569 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 5.7% | 670 | 663 | $8K |
| D0272 | Bitewings - two radiographic images | 5.2% | 329 | 325 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.0% | 647 | 641 | $7K |
| D0274 | Bitewings - four radiographic images | 4.7% | 198 | 198 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.2% | 45 | 26 | $5K |
5 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 officialVATANI, LADAN (OWNER)