Dental
Ismile Dental at LA Gran Plaza, PLLC
Ismile Dental at LA Gran Plaza, PLLC was paid $1.41M by Medicaid between Oct 2020 and Dec 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 37% of everything it billed.
33Billing provider infoISMILE DENTAL AT LA GRAN PLAZA, PLLC
FORT WORTH, TX 76115
FORT WORTH, TX 76115
33aNPI1629329891assigned 09/27/2012
33bProvider typeDentist
28Total paid$1.41M
24GClaims42,435
24DCodes billed19
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#146 of 1,678
Median peer was paid$35K
This provider vs. median41×
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 | 990 | $53K | |
| 2021 | 9,846 | $332K | |
| 2022 | 10,372 | $336K | |
| 2023 | 11,195 | $357K | |
| 2024incomplete | 10,032 | $335K |
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 | 37% | 5,335 | 1,724 | $524K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 2,127 | 764 | $153K |
| D0145 | Oral evaluation for a patient under three years of age | 8.2% | 843 | 836 | $116K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.5% | 9,570 | 3,051 | $106K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.3% | 3,165 | 3,139 | $89K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.2% | 2,439 | 2,422 | $87K |
| D1110 | Prophylaxis - adult | 4.6% | 1,228 | 1,216 | $65K |
| D1208 | Topical application of fluoride, excluding varnish | 4.1% | 4,039 | 4,007 | $58K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 1,532 | 1,476 | $41K |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 3,282 | 3,245 | $40K |
| D0274 | Bitewings - four radiographic images | 2.4% | 995 | 982 | $33K |
| D0210 | Intraoral - complete series of radiographic images | 2.2% | 464 | 459 | $31K |
7 more codes
| D0272 | Bitewings - two radiographic images | 1.6% | 980 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 548 | $18K |
| D2330 | <1% | 182 | $13K | |
| D1352 | <1% | 214 | $7K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 51 | $6K |
| D1351 | Sealant - per tooth | <1% | 138 | $4K |
| D0603 | 0% | 5,303 | $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 officialTRUONG, THANH (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Tendercare Pediatrics, INC | Mason, OH | $809K |
| Ismile Dental | Fort Worth, TX | $477K |
| Area Dental, Truong Dental Office PC | Hemet, CA | $29K |
| Vida Vision LLC | Cypress, TX | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.