Clinic
Pecan Dental and Implant Solutions LLC
Pecan Dental and Implant Solutions LLC was paid $1.66M by Medicaid between Aug 2021 and Nov 2023, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 49% of everything it billed.
33Billing provider infoPECAN DENTAL AND IMPLANT SOLUTIONS LLC
RICHARDSON, TX 75080
RICHARDSON, TX 75080
33aNPI1578148201assigned 03/15/2021
33bProvider typeDental Clinic/Center
28Total paid$1.66M
24GClaims55,278
24DCodes billed19
24AFirst – last monthAug 2021 – Nov 2023
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#25 of 255
Median peer was paid$110K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2021 | 14,854 | $334K | |
| 2022 | 31,526 | $1.06M | |
| 2023 | 8,898 | $265K |
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 | 49% | 9,790 | 2,413 | $817K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13% | 3,170 | 1,247 | $211K |
| D1351 | Sealant - per tooth | 8.0% | 6,184 | 1,202 | $132K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 3,766 | 3,152 | $109K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.5% | 10,525 | 3,064 | $91K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.8% | 2,708 | 2,243 | $80K |
| D1110 | Prophylaxis - adult | 2.9% | 1,046 | 901 | $48K |
| D0274 | Bitewings - four radiographic images | 2.6% | 1,906 | 1,602 | $43K |
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 3,795 | 3,179 | $40K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 3,684 | 3,062 | $31K |
| D0145 | Oral evaluation for a patient under three years of age | 1.3% | 159 | 156 | $21K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 216 | 211 | $13K |
7 more codes
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 officialSIDDIQUI, OSAMA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Phoenix Smiles, PLLC | Arlington, TX | $360K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.