Dental
14TH Street Dental
14TH Street Dental was paid $2.88M by Medicaid between Oct 2019 and Dec 2024, across 29 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.
33Billing provider info14TH STREET DENTAL
PLANO, TX 75074
PLANO, TX 75074
33aNPI1588051395assigned 04/20/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$2.88M
24GClaims100,946
24DCodes billed29
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#122 of 2,774
Median peer was paid$43K
This provider vs. median67×
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 | |
|---|---|---|---|
| 2019 | 12 | $0.00 | |
| 2020 | 3,588 | $109K | |
| 2021 | 25,251 | $746K | |
| 2022 | 25,987 | $715K | |
| 2023 | 25,879 | $766K | |
| 2024incomplete | 20,229 | $542K |
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% | 5,317 | 2,179 | $504K |
| D0145 | Oral evaluation for a patient under three years of age | 15% | 3,162 | 3,090 | $430K |
| D1351 | Sealant - per tooth | 13% | 14,526 | 2,799 | $372K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.0% | 8,325 | 8,098 | $229K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.7% | 3,003 | 1,551 | $220K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.3% | 6,049 | 5,890 | $210K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.5% | 17,659 | 8,361 | $187K |
| D1110 | Prophylaxis - adult | 5.5% | 3,326 | 3,232 | $158K |
| D1208 | Topical application of fluoride, excluding varnish | 4.4% | 8,967 | 8,714 | $125K |
| D0274 | Bitewings - four radiographic images | 3.9% | 3,458 | 3,361 | $111K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 9,105 | 8,808 | $106K |
| D7240 | Removal of impacted tooth - completely bony | 2.4% | 252 | 79 | $70K |
17 more codes
| D0272 | Bitewings - two radiographic images | 2.0% | 2,850 | $59K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 757 | $24K |
| D2332 | <1% | 133 | $16K | |
| D0330 | Panoramic radiographic image | <1% | 462 | $12K |
| D2335 | <1% | 57 | $9K | |
| D9222 | <1% | 155 | $8K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 178 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 343 | $6K |
| D9243 | <1% | 138 | $4K | |
| D9239 | <1% | 54 | $3K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 42 | $3K |
| D2330 | <1% | 17 | $1K | |
| D9610 | <1% | 88 | $1K | |
| D0160 | <1% | 87 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 73 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 27 | $650.64 |
| D0603 | 0% | 12,336 | $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 officialCOPELAND, CRAIG (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Emergency Dentist,llc | Indianapolis, IN | $9.28M |
| Las Palmas Dental, PLLC | San Antonio, TX | $8.35M |
| Saratoga Boulevard Family Dental, PLLC | Corpus Christi, TX | $6.78M |
| Emergency Dentist,llc | Indianapolis, IN | $3.27M |
| North Texas Boulevard Dental, PLLC | Weslaco, TX | $2.95M |
| Gilmer Street Dental, PLLC | Sulphur Springs, TX | $1.84M |
| Lockhart Dental, PLLC | Lockhart, TX | $1.28M |
| Veterans Boulevard Family Dentistry, PLLC | San Juan, TX | $1.10M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.