Dental
Capstone Dentistry PLLC
Capstone Dentistry PLLC was paid $6K by Medicaid between Jan 2021 and Apr 2022, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 33% of everything it billed.
33Billing provider infoCAPSTONE DENTISTRY PLLC
HUMBLE, TX 77396
HUMBLE, TX 77396
33aNPI1619459161assigned 08/31/2018
33bProvider typePediatric Dentist
28Total paid$6K
24GClaims476
24DCodes billed6
24AFirst – last monthJan 2021 – Apr 2022
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#594 of 693
Median peer was paid$252K
This provider vs. median0.0×
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 | 406 | $5K | |
| 2022 | 70 | $935.17 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 33% | 77 | 70 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 21% | 101 | 93 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 37 | 33 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 15% | 74 | 67 | $854.08 |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 68 | 62 | $702.11 |
| D0603 | 0% | 119 | 113 | $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 officialJACKSON, JESSICA (OFFICE MANAGER)