Dental
Clean Dental of Mesquite, P.C.
Clean Dental of Mesquite, P.C. was paid $824K by Medicaid between Nov 2020 and Dec 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.
33Billing provider infoCLEAN DENTAL OF MESQUITE, P.C.
MESQUITE, TX 75150
MESQUITE, TX 75150
33aNPI1669777686assigned 01/23/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$824K
24GClaims29,290
24DCodes billed19
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#380 of 2,774
Median peer was paid$43K
This provider vs. median19×
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 | 1,028 | $23K | |
| 2021 | 8,426 | $215K | |
| 2022 | 8,724 | $263K | |
| 2023 | 7,353 | $233K | |
| 2024incomplete | 3,759 | $90K |
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 | 22% | 1,796 | 822 | $178K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 3,155 | 3,141 | $90K |
| D1351 | Sealant - per tooth | 11% | 3,336 | 772 | $89K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.1% | 2,090 | 2,084 | $75K |
| D1110 | Prophylaxis - adult | 6.8% | 1,037 | 1,029 | $56K |
| D0145 | Oral evaluation for a patient under three years of age | 6.3% | 366 | 366 | $51K |
| D1208 | Topical application of fluoride, excluding varnish | 6.0% | 3,452 | 3,435 | $50K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.0% | 645 | 344 | $49K |
| D0274 | Bitewings - four radiographic images | 5.0% | 1,209 | 1,197 | $41K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 2,961 | 2,941 | $37K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.4% | 3,224 | 2,784 | $37K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.5% | 1,085 | 1,033 | $29K |
7 more codes
| D0272 | Bitewings - two radiographic images | 2.3% | 832 | $19K |
| D0210 | Intraoral - complete series of radiographic images | 1.4% | 172 | $12K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.4% | 113 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 13 | $464.80 |
| D0603 | 0% | 3,384 | $0.00 | |
| D0602 | 0% | 287 | $0.00 | |
| D0601 | 0% | 133 | $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 officialPARK, SANG (CEO)
| Provider | Location | Paid |
|---|---|---|
| Eagle Medical Equipment INC | Burbank, CA | $1.71M |
| Royal Lane Dental Center PLLC | Dallas, TX | $335K |
| Prowalk Orthotics & Prosthetics, INC. | Van Nuys, CA | $172.46 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.