Dental
South Buckner Family Dentistry, PLLC
South Buckner Family Dentistry, PLLC was paid $585K by Medicaid between Oct 2021 and Dec 2024, across 25 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoSOUTH BUCKNER FAMILY DENTISTRY, PLLC
DALLAS, TX 75217
DALLAS, TX 75217
33aNPI1659967925assigned 12/21/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$585K
24GClaims19,022
24DCodes billed25
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#476 of 2,774
Median peer was paid$43K
This provider vs. median14×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official EVANS, EVERETT controls 20+ related entities in our dataset. Read more
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 | 447 | $16K | |
| 2022 | 4,813 | $189K | |
| 2023 | 5,648 | $163K | |
| 2024incomplete | 8,114 | $217K |
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 | 24% | 1,484 | 469 | $141K |
| D0145 | Oral evaluation for a patient under three years of age | 19% | 885 | 830 | $111K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.3% | 1,439 | 1,403 | $49K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.7% | 355 | 65 | $45K |
| D1351 | Sealant - per tooth | 6.3% | 1,520 | 359 | $37K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.8% | 1,049 | 1,005 | $28K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.6% | 2,751 | 1,402 | $27K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 799 | 768 | $25K |
| D1208 | Topical application of fluoride, excluding varnish | 4.0% | 1,724 | 1,687 | $24K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 1,631 | 1,575 | $17K |
| D1110 | Prophylaxis - adult | 2.4% | 289 | 279 | $14K |
| D0272 | Bitewings - two radiographic images | 2.2% | 832 | 819 | $13K |
13 more codes
| D0274 | Bitewings - four radiographic images | 2.0% | 420 | $12K |
| D0210 | Intraoral - complete series of radiographic images | 1.8% | 157 | $11K |
| D7240 | Removal of impacted tooth - completely bony | 1.8% | 36 | $10K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.3% | 308 | $7K |
| D0330 | Panoramic radiographic image | 1.1% | 335 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 52 | $4K |
| D9248 | <1% | 14 | $1K | |
| D9222 | <1% | 13 | $751.74 | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 23 | $745.96 |
| D1206 | Topical application of fluoride varnish | <1% | 32 | $426.30 |
| D0140 | Limited oral evaluation - problem focused | <1% | 26 | $356.82 |
| D0160 | <1% | 12 | $179.40 | |
| D0603 | <1% | 2,836 | $0.02 |
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 officialEVANS, EVERETT (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Montana Dental, PLLC | El Paso, TX | $8.83M |
| Carrier Dental, PLLC | Grand Prairie, TX | $8.13M |
| Smile Magic of El Paso PLLC | El Paso, TX | $8.00M |
| Smile Magic of Lewisville, PLLC | Lewisville, TX | $7.29M |
| Smile Magic of Garland, PLLC | Garland, TX | $7.04M |
| Nolana Smiles, PLLC | Mcallen, TX | $5.61M |
| Smile Magic of Denton, PLLC | Denton, TX | $4.91M |
| Kingsville Dental PLLC | Kingsville, TX | $4.75M |
| Palestine Dental PLLC | Palestine, TX | $3.29M |
| Lowes Boulevard Family Dentistry, PLLC | Killeen, TX | $3.13M |
| Huntsville Dental PLLC | Huntsville, TX | $2.74M |
| Nacogdoches Dental PLLC | Nacogdoches, TX | $2.70M |
| Carmel Village Family Dentistry, PLLC | Corpus Christi, TX | $2.62M |
| Grandbury Dental , PLLC | Granbury, TX | $2.41M |
| San Dario Dentistry, PLLC | Laredo, TX | $1.92M |
| Beaumont Dental PLLC | Beaumont, TX | $1.87M |
| Mineral Wells, PLLC | Mineral Wells, TX | $1.82M |
| Brownwood Dental PLLS | Brownwood, TX | $1.72M |
| Dyer Family Dentistry, PLLC | El Paso, TX | $1.57M |
| Family Smiles of Greenville, PLLC | Greenville, TX | $1.53M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.