Dental
The Main Street Dental Depot, PLLC
The Main Street Dental Depot, PLLC was paid $92K by Medicaid between Dec 2020 and Dec 2024, across 16 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.
33Billing provider infoTHE MAIN STREET DENTAL DEPOT, PLLC
THE COLONY, TX 75056
THE COLONY, TX 75056
33aNPI1609238393assigned 03/22/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$92K
24GClaims6,511
24DCodes billed16
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,111 of 2,774
Median peer was paid$43K
This provider vs. median2.2×
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 | |
|---|---|---|---|
| 2020 | 108 | $2K | |
| 2021 | 1,505 | $21K | |
| 2022 | 2,138 | $33K | |
| 2023 | 1,664 | $23K | |
| 2024incomplete | 1,096 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 726 | 666 | $18K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 528 | 494 | $16K |
| D1206 | Topical application of fluoride varnish | 15% | 1,109 | 1,038 | $14K |
| D0274 | Bitewings - four radiographic images | 11% | 423 | 382 | $10K |
| D1110 | Prophylaxis - adult | 9.9% | 197 | 186 | $9K |
| D1351 | Sealant - per tooth | 8.6% | 408 | 71 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 5.8% | 665 | 617 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.8% | 659 | 546 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.6% | 39 | 16 | $2K |
| D0330 | Panoramic radiographic image | 2.3% | 129 | 125 | $2K |
| D0272 | Bitewings - two radiographic images | 2.0% | 113 | 106 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 24 | 24 | $741.72 |
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 officialKANA, HIMESH (MANAGING MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Dental Depot of Little Elm, PLLC | Aubrey, TX | $73K |
| Dental Depot of Lewisville, PLLC | Lewisville, TX | $29K |
| Dental Depot of Mckinney PLLC | Mckinney, TX | $3K |
| Dental Depot of Highland Village | Highland Village, TX | $214.90 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.