Dental
Lifetime Dental, PA
Lifetime Dental, PA was paid $16K by Medicaid between Nov 2020 and Apr 2021, across 10 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 25% of everything it billed.
33Billing provider infoLIFETIME DENTAL, PA
CYPRESS, TX 77433
CYPRESS, TX 77433
33aNPI1639340128assigned 03/12/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$16K
24GClaims843
24DCodes billed10
24AFirst – last monthNov 2020 – Apr 2021
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,710 of 2,774
Median peer was paid$43K
This provider vs. median0.4×
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 | 383 | $10K | |
| 2021 | 460 | $7K |
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 | 25% | 42 | 14 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 107 | 104 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 60 | 60 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 9.6% | 119 | 116 | $2K |
| D1110 | Prophylaxis - adult | 9.0% | 29 | 29 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 8.1% | 133 | 127 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.0% | 114 | 110 | $1K |
| D0272 | Bitewings - two radiographic images | 6.0% | 42 | 42 | $981.96 |
| D0274 | Bitewings - four radiographic images | 5.7% | 27 | 27 | $931.86 |
| D0603 | 0% | 170 | 164 | $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 officialDAFTARIAN, SAMANEH (DENTIST/ PRESIDENT)