Dental
Dental Etc
Dental Etc was paid $318K by Medicaid between Oct 2020 and Nov 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 18% of everything it billed.
33Billing provider infoDENTAL ETC
LEAGUE CITY, TX 77573
LEAGUE CITY, TX 77573
33aNPI1669667408assigned 09/13/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$318K
24GClaims13,270
24DCodes billed14
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#675 of 2,774
Median peer was paid$43K
This provider vs. median7.4×
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 | 703 | $16K | |
| 2021 | 5,037 | $122K | |
| 2022 | 4,053 | $99K | |
| 2023 | 2,580 | $61K | |
| 2024incomplete | 897 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 18% | 1,114 | 1,073 | $56K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 2,095 | 2,023 | $56K |
| D1351 | Sealant - per tooth | 15% | 2,129 | 260 | $48K |
| D0274 | Bitewings - four radiographic images | 15% | 1,563 | 1,511 | $47K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,097 | 1,063 | $37K |
| D1206 | Topical application of fluoride varnish | 8.5% | 1,963 | 1,918 | $27K |
| D0145 | Oral evaluation for a patient under three years of age | 6.1% | 149 | 145 | $19K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.4% | 126 | 70 | $11K |
| D0272 | Bitewings - two radiographic images | 2.4% | 359 | 350 | $8K |
| D0330 | Panoramic radiographic image | 1.7% | 226 | 218 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 98 | 93 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 45 | 43 | $1K |
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 officialMAI, MITCHEL (PRESIDENT)