Clinic
Southern Smiles, PA
Southern Smiles, PA was paid $341.82 by Medicaid between Nov 2024 and Nov 2024, across 2 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 56% of everything it billed.
33Billing provider infoSOUTHERN SMILES, PA
ROSHARON, TX 77583
ROSHARON, TX 77583
33aNPI1669159299assigned 07/05/2023
33bProvider typeDental Clinic/Center
28Total paid$341.82
24GClaims26
24DCodes billed2
24AFirst – last monthNov 2024 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#242 of 255
Median peer was paid$110K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 26 | $341.82 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 56% | 14 | 14 | $191.10 |
| D0220 | Intraoral - periapical first radiographic image | 44% | 12 | 12 | $150.72 |
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 officialPHAM, PHI (FOUNDER)