Clinic
Exquisite Dental Smiles II PLLC
Exquisite Dental Smiles II PLLC was paid $1.46M by Medicaid between Aug 2023 and Dec 2024, across 22 billing codes. Its largest line is D1351, Sealant - per tooth — 17% of everything it billed.
33Billing provider infoEXQUISITE DENTAL SMILES II PLLC
HOUSTON, TX 77023
HOUSTON, TX 77023
33aNPI1598480089assigned 10/06/2022
33bProvider typeDental Clinic/Center
28Total paid$1.46M
24GClaims47,355
24DCodes billed22
24AFirst – last monthAug 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#28 of 255
Median peer was paid$110K
This provider vs. median13×
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 | 11,031 | $336K | |
| 2024incomplete | 36,324 | $1.13M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 17% | 10,438 | 1,516 | $256K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 2,396 | 1,043 | $229K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13% | 2,613 | 1,157 | $189K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 1,155 | 322 | $164K |
| D0145 | Oral evaluation for a patient under three years of age | 9.4% | 1,001 | 988 | $138K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.5% | 10,434 | 2,846 | $110K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 2,189 | 2,127 | $73K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.7% | 2,000 | 1,945 | $69K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.2% | 1,977 | 1,820 | $46K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 3,043 | 2,949 | $36K |
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 2,493 | 2,423 | $34K |
| D0274 | Bitewings - four radiographic images | 1.9% | 850 | 828 | $28K |
10 more codes
| D9248 | 1.4% | 183 | $21K | |
| D0120 | Dental checkup, returning patient | 1.4% | 701 | $20K |
| D1110 | Prophylaxis - adult | 1.0% | 296 | $15K |
| D0272 | Bitewings - two radiographic images | <1% | 589 | $13K |
| D0350 | <1% | 767 | $11K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 107 | $9K |
| D2330 | <1% | 22 | $2K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 23 | $896.84 |
| D9986 | 0% | 12 | $0.00 | |
| D0603 | 0% | 4,066 | $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 officialMOMIN, MAHERIN (DOCTOR/OWNER)
Parent organizationEXQUISITE DENTAL SMILES PLLC
| Provider | Location | Paid |
|---|---|---|
| Exquisite Dental Smiles PLLC | Houston, TX | $5.33M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.