Dental
Gulfside Dental
Gulfside Dental was paid $939K by Medicaid between Nov 2020 and Dec 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoGULFSIDE DENTAL
BEAUMONT, TX 77706
BEAUMONT, TX 77706
33aNPI1609132612assigned 04/03/2012
33bProvider typeDentist
28Total paid$939K
24GClaims43,729
24DCodes billed17
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#218 of 1,678
Median peer was paid$35K
This provider vs. median27×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PU, MARY controls 20+ related entities in our dataset. Read more
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 | 1,658 | $34K | |
| 2021 | 10,396 | $253K | |
| 2022 | 10,811 | $239K | |
| 2023 | 12,502 | $245K | |
| 2024incomplete | 8,362 | $168K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 4,110 | 3,945 | $138K |
| D1351 | Sealant - per tooth | 14% | 5,145 | 814 | $133K |
| D1110 | Prophylaxis - adult | 11% | 2,187 | 2,106 | $106K |
| D0230 | Intraoral - periapical each additional radiographic image | 10.0% | 9,198 | 2,447 | $94K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.1% | 3,325 | 3,144 | $86K |
| D0145 | Oral evaluation for a patient under three years of age | 7.6% | 554 | 543 | $72K |
| D0274 | Bitewings - four radiographic images | 7.6% | 2,253 | 2,175 | $71K |
| D1206 | Topical application of fluoride varnish | 6.6% | 4,651 | 4,463 | $62K |
| D0210 | Intraoral - complete series of radiographic images | 5.4% | 846 | 796 | $51K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 2,729 | 2,623 | $31K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 1,064 | 977 | $31K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.8% | 202 | 90 | $26K |
5 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 officialPU, MARY (VP OF FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Red Rock Dental-Farmington | Irving, TX | $3.59M |
| Sage Dental | Baytown, TX | $2.35M |
| Peppermint Dental-Montgomery LLC | Albuquerque, NM | $2.14M |
| Sage Dental-Deer Park PLLC | La Porte, TX | $1.87M |
| Vinh Ngo Dentistry PLLC | Victoria, TX | $1.65M |
| Element Dental-Bryan PLLC | Bryan, TX | $1.57M |
| Fusion Dental | Irving, TX | $1.49M |
| Element Dental-Conroe PLLC | Irving, TX | $1.49M |
| Gulfside Dental Port Arthur PLLC | Port Arthur, TX | $1.39M |
| Peppermint Dental-Rio Bravo LLC | Albuquerque, NM | $1.29M |
| Fresh Dental-Shreveport | Irving, TX | $1.27M |
| Fresh Dental-Bossier City | Irving, TX | $1.21M |
| Peppermint Dental-Sherman PLLC | Sherman, TX | $1.17M |
| Element Dental PLLC | Lufkin, TX | $1.06M |
| Rio Dental and Orthodontics LLC | Rio Rancho, NM | $1.00M |
| Element Dental-Humble PLLC | Humble, TX | $942K |
| Legend Dental-Georgetown | Georgetown, TX | $919K |
| Bliss Dental PLLC | Odessa, TX | $827K |
| Bliss Dental Lubbock PLLC | Lubbock, TX | $826K |
| Archstone Dental-Granbury PLLC | Granbury, TX | $817K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.