Dental
South Tyler Family Dentistry PLLC
South Tyler Family Dentistry PLLC was paid $34K by Medicaid between Dec 2020 and Jul 2022, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoSOUTH TYLER FAMILY DENTISTRY PLLC
TYLER, TX 75703
TYLER, TX 75703
33aNPI1548636061assigned 08/19/2015
33bProvider typeDentist
28Total paid$34K
24GClaims2,384
24DCodes billed10
24AFirst – last monthDec 2020 – Jul 2022
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#843 of 1,678
Median peer was paid$35K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2020 | 115 | $1K | |
| 2021 | 1,691 | $24K | |
| 2022 | 578 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 166 | 158 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 19% | 635 | 284 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 230 | 216 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 141 | 131 | $4K |
| D1206 | Topical application of fluoride varnish | 12% | 321 | 301 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 343 | 322 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 2.3% | 60 | 57 | $807.26 |
| D0274 | Bitewings - four radiographic images | 1.5% | 17 | 16 | $515.69 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | 12 | $279.03 |
| D0603 | 0% | 459 | 434 | $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 officialGARCIA, JENNY (CREDENTIALING LEAD)
| Provider | Location | Paid |
|---|---|---|
| Spearmint Kids and Orthodontics PLLC | Wichita Falls, TX | $562K |
| College Station Dentistry and Orthodontics PLLC | College Station, TX | $67K |
| Marketside Street Dental LLC | Buckeye, AZ | $28K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.