Dental
Bryan ST Dental PLLC
Bryan ST Dental PLLC was paid $180K by Medicaid between Dec 2020 and Oct 2024, across 17 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.
33Billing provider infoBRYAN ST DENTAL PLLC
MISSION, TX 78572
MISSION, TX 78572
33aNPI1659938132assigned 05/21/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$180K
24GClaims8,579
24DCodes billed17
24AFirst – last monthDec 2020 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#854 of 2,774
Median peer was paid$43K
This provider vs. median4.2×
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 | 178 | $3K | |
| 2021 | 4,715 | $99K | |
| 2022 | 2,583 | $64K | |
| 2023 | 534 | $7K | |
| 2024incomplete | 569 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 1,125 | 1,112 | $32K |
| D1110 | Prophylaxis - adult | 14% | 482 | 476 | $26K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 1,248 | 1,238 | $18K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.3% | 467 | 463 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.7% | 1,598 | 1,190 | $16K |
| D0274 | Bitewings - four radiographic images | 8.4% | 459 | 452 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 8.1% | 1,281 | 1,264 | $15K |
| D0145 | Oral evaluation for a patient under three years of age | 7.4% | 100 | 96 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.5% | 119 | 53 | $12K |
| D0272 | Bitewings - two radiographic images | 4.1% | 326 | 323 | $7K |
| D1351 | Sealant - per tooth | 2.5% | 195 | 29 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 51 | 31 | $4K |
5 more codes
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 officialWHILBY, PATRICK (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Main ST Dental PLLC | Alton, TX | $1.34M |
| LA Homa Family Dental PLLC | Mission, TX | $869K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.