Dental
Mossprime Dental PLLC
Mossprime Dental PLLC was paid $2.55M by Medicaid between May 2021 and Jun 2023, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 30% of everything it billed.
33Billing provider infoMOSSPRIME DENTAL PLLC
ARLINGTON, TX 76012
ARLINGTON, TX 76012
33aNPI1538778493assigned 07/27/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$2.55M
24GClaims78,560
24DCodes billed16
24AFirst – last monthMay 2021 – Jun 2023
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#136 of 2,774
Median peer was paid$43K
This provider vs. median60×
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 | 12,422 | $465K | |
| 2022 | 40,773 | $1.29M | |
| 2023 | 25,365 | $794K |
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 | 30% | 7,646 | 2,668 | $772K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 18% | 5,941 | 2,096 | $462K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.0% | 5,006 | 4,999 | $179K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.9% | 15,645 | 7,540 | $176K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.6% | 4,193 | 4,187 | $143K |
| D0145 | Oral evaluation for a patient under three years of age | 4.9% | 886 | 886 | $124K |
| D1110 | Prophylaxis - adult | 4.6% | 2,193 | 2,190 | $116K |
| D1208 | Topical application of fluoride, excluding varnish | 4.1% | 7,248 | 7,237 | $104K |
| D0274 | Bitewings - four radiographic images | 4.0% | 3,015 | 3,011 | $102K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 7,583 | 7,564 | $93K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.6% | 3,257 | 3,253 | $92K |
| D1351 | Sealant - per tooth | 3.4% | 3,423 | 862 | $87K |
4 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 officialMOSSMAN, MAXIM (DR. (OWNER))
| Provider | Location | Paid |
|---|---|---|
| Casa Mossman Dental PLLC | Richardson, TX | $800K |
| Mossprime Dental PLLC | Balch Springs, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.