Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Bouyean Dentistry PLLC

Bouyean Dentistry PLLC was paid $415K by Medicaid between Mar 2023 and Dec 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 34% of everything it billed.

33Billing provider infoBOUYEAN DENTISTRY PLLC
FORT STOCKTON, TX 79735
33aNPI1558085563assigned 10/03/2022
28Total paid$415K
24GClaims13,412
24DCodes billed15
24AFirst – last monthMar 2023 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#584 of 2,774
Median peer was paid$43K
This provider vs. median9.7×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20236,328$198K
2024incomplete7,084$217K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 34% 1,477 402 $143K
D2391 Resin-based composite - one surface, posterior, primary or permanent 11% 617 223 $47K
D0145 Oral evaluation for a patient under three years of age 9.7% 312 300 $40K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 8.5% 1,318 1,295 $35K
D1120 Dental cleaning, childProphylaxis - child 8.5% 1,024 1,008 $35K
D1110 Prophylaxis - adult 5.6% 468 457 $23K
D1208 Topical application of fluoride, excluding varnish 5.0% 1,521 1,492 $21K
D0272 Bitewings - two radiographic images 4.8% 953 937 $20K
D0220 Intraoral - periapical first radiographic image 3.7% 1,601 1,540 $15K
D0274 Bitewings - four radiographic images 3.3% 490 481 $14K
D0230 Intraoral - periapical each additional radiographic image 3.3% 1,499 1,473 $14K
D0330 Panoramic radiographic image <1% 170 164 $4K
3 more codes
D0150 Comprehensive oral evaluation - new or established patient <1% 101 $3K
D0210 Intraoral - complete series of radiographic images <1% 14 $988.96
D0603 0% 1,847 $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 officialKIM, NICKOLAS (DENTIST)