Dental
Precision Smile Structure Mission
Precision Smile Structure Mission was paid $2.07M by Medicaid between Oct 2020 and Dec 2024, across 25 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoPRECISION SMILE STRUCTURE MISSION
SAN ANTONIO, TX 78214
SAN ANTONIO, TX 78214
33aNPI1659801397assigned 06/15/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$2.07M
24GClaims78,995
24DCodes billed25
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#169 of 2,774
Median peer was paid$43K
This provider vs. median49×
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 | 1,541 | $50K | |
| 2021 | 18,545 | $487K | |
| 2022 | 22,769 | $610K | |
| 2023 | 21,556 | $614K | |
| 2024incomplete | 14,584 | $314K |
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 | 19% | 4,146 | 1,831 | $392K |
| D0145 | Oral evaluation for a patient under three years of age | 11% | 1,679 | 1,656 | $232K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 7,753 | 7,603 | $212K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.8% | 5,298 | 5,178 | $183K |
| D1110 | Prophylaxis - adult | 8.4% | 3,405 | 3,348 | $175K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.7% | 14,933 | 7,310 | $160K |
| D1208 | Topical application of fluoride, excluding varnish | 6.0% | 8,975 | 8,801 | $125K |
| D0274 | Bitewings - four radiographic images | 5.2% | 3,289 | 3,231 | $108K |
| D0220 | Intraoral - periapical first radiographic image | 4.5% | 7,857 | 7,646 | $93K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 926 | 558 | $67K |
| D0210 | Intraoral - complete series of radiographic images | 3.0% | 991 | 957 | $62K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.0% | 2,411 | 2,270 | $62K |
13 more codes
| D0272 | Bitewings - two radiographic images | 2.3% | 2,165 | $48K |
| D1351 | Sealant - per tooth | 2.2% | 1,755 | $46K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 1,228 | $39K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.5% | 254 | $32K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 173 | $17K |
| D7240 | Removal of impacted tooth - completely bony | <1% | 46 | $13K |
| D2330 | <1% | 50 | $4K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 203 | $4K |
| D9248 | <1% | 14 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 15 | $829.14 |
| D0603 | 0% | 11,315 | $0.00 | |
| D9986 | 0% | 94 | $0.00 | |
| D9996 | 0% | 20 | $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 officialSMITH, ADAM (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Precision Smile Structure Ingram | San Antonio, TX | $1.50M |
| Precision Smile Structure Helotes, PLLC | Helotes, TX | $28K |
| De Zavala Precision Smile Structure | San Antonio, TX | $24K |
| Babcock Precision Smile PLLC | San Antonio, TX | $6K |
| TGH Surgery Center at Morsani, LLC | Tampa, FL | $6K |
| Rocky Mountain Brain & Spine Institute PLLC | Highlands Ranch, CO | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.