Dental
Lakeside Dental
Lakeside Dental was paid $700K by Medicaid between Nov 2020 and Dec 2024, across 20 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoLAKESIDE DENTAL
LITTLE ELM, TX 75068
LITTLE ELM, TX 75068
33aNPI1558462689assigned 09/25/2006
33bProvider typeDentist
28Total paid$700K
24GClaims31,966
24DCodes billed20
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#277 of 1,678
Median peer was paid$35K
This provider vs. median20×
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 | 887 | $19K | |
| 2021 | 7,784 | $219K | |
| 2022 | 7,837 | $178K | |
| 2023 | 8,208 | $150K | |
| 2024incomplete | 7,250 | $134K |
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 | 18% | 1,330 | 511 | $128K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 3,215 | 3,132 | $86K |
| D1110 | Prophylaxis - adult | 12% | 1,690 | 1,649 | $85K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.8% | 2,070 | 2,006 | $69K |
| D1208 | Topical application of fluoride, excluding varnish | 7.6% | 3,925 | 3,823 | $53K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.2% | 5,712 | 3,832 | $50K |
| D0274 | Bitewings - four radiographic images | 6.4% | 1,770 | 1,711 | $45K |
| D0145 | Oral evaluation for a patient under three years of age | 6.0% | 314 | 312 | $42K |
| D0220 | Intraoral - periapical first radiographic image | 5.7% | 4,157 | 3,989 | $40K |
| D0272 | Bitewings - two radiographic images | 3.5% | 1,336 | 1,294 | $24K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.4% | 327 | 158 | $24K |
| D1351 | Sealant - per tooth | 2.5% | 695 | 176 | $18K |
8 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 454 | $15K |
| D0330 | Panoramic radiographic image | 1.4% | 593 | $10K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 81 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 48 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 109 | $3K |
| D0603 | <1% | 3,086 | $0.01 | |
| D0601 | 0% | 931 | $0.00 | |
| D0602 | 0% | 123 | $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 officialLINAVONG, VANPHAPHONE (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Smile Zone, P.C. | Dallas, TX | $874K |
| Westmoreland Heights Dental | Dallas, TX | $225K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.