Dental
Pearl Dental PLLC
Pearl Dental PLLC was paid $13K by Medicaid between Mar 2023 and Nov 2024, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 23% of everything it billed.
33Billing provider infoPEARL DENTAL PLLC
HALLSVILLE, TX 75650
HALLSVILLE, TX 75650
33aNPI1568107589assigned 05/03/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$13K
24GClaims1,136
24DCodes billed10
24AFirst – last monthMar 2023 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,801 of 2,774
Median peer was paid$43K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2023 | 300 | $5K | |
| 2024incomplete | 836 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 86 | 86 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 20% | 264 | 83 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 18% | 228 | 225 | $2K |
| D1110 | Prophylaxis - adult | 10% | 25 | 25 | $1K |
| D0330 | Panoramic radiographic image | 8.7% | 25 | 25 | $1K |
| D1206 | Topical application of fluoride varnish | 6.5% | 59 | 59 | $852.60 |
| D1208 | Topical application of fluoride, excluding varnish | 5.9% | 55 | 55 | $777.63 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.9% | 27 | 27 | $770.34 |
| D0272 | Bitewings - two radiographic images | 2.0% | 12 | 12 | $257.18 |
| D0603 | <1% | 355 | 351 | $9.07 |
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 officialNDOUTOUME, OLIVIA (OWNER/DENTIST)