Dental
Gold Star Dental, PLLC
Gold Star Dental, PLLC was paid $1.58M by Medicaid between May 2018 and Dec 2024, across 19 billing codes. Its largest line is D0120, dental checkup, returning patient — 14% of everything it billed.
33Billing provider infoGOLD STAR DENTAL, PLLC
FORT WORTH, TX 76133
FORT WORTH, TX 76133
33aNPI1548528771assigned 04/25/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$1.58M
24GClaims66,043
24DCodes billed19
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#221 of 2,774
Median peer was paid$43K
This provider vs. median37×
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 | |
|---|---|---|---|
| 2018 | 257 | $3K | |
| 2019 | 391 | $7K | |
| 2020 | 3,547 | $82K | |
| 2021 | 21,966 | $515K | |
| 2022 | 15,078 | $359K | |
| 2023 | 15,030 | $365K | |
| 2024incomplete | 9,774 | $246K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 7,789 | 7,683 | $221K |
| D1110 | Prophylaxis - adult | 13% | 3,763 | 3,706 | $202K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 1,915 | 856 | $187K |
| D0274 | Bitewings - four radiographic images | 11% | 4,925 | 4,851 | $167K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.8% | 4,272 | 4,218 | $155K |
| D1351 | Sealant - per tooth | 8.9% | 5,285 | 1,158 | $140K |
| D1208 | Topical application of fluoride, excluding varnish | 7.4% | 8,084 | 7,975 | $117K |
| D0220 | Intraoral - periapical first radiographic image | 6.4% | 8,189 | 8,070 | $101K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.8% | 8,055 | 7,939 | $91K |
| D0272 | Bitewings - two radiographic images | 4.5% | 3,074 | 3,033 | $71K |
| D0145 | Oral evaluation for a patient under three years of age | 3.9% | 476 | 433 | $61K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.4% | 1,479 | 1,448 | $39K |
7 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 269 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 92 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 48 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $206.58 |
| D0603 | 0% | 8,139 | $0.00 | |
| D0601 | 0% | 97 | $0.00 | |
| D0602 | 0% | 79 | $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 officialWANG, CARL (FINANCE DIRECTOR)