Dental
Mcallen Family Dentistry PLLC
Mcallen Family Dentistry PLLC was paid $794K by Medicaid between Nov 2020 and Dec 2024, across 20 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 14% of everything it billed.
33Billing provider infoMCALLEN FAMILY DENTISTRY PLLC
MCALLEN, TX 78503
MCALLEN, TX 78503
33aNPI1679074983assigned 02/22/2018
33bProvider typeDentist
28Total paid$794K
24GClaims36,750
24DCodes billed20
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#253 of 1,678
Median peer was paid$35K
This provider vs. median23×
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 | 419 | $4K | |
| 2021 | 7,626 | $153K | |
| 2022 | 11,107 | $273K | |
| 2023 | 11,052 | $239K | |
| 2024incomplete | 6,546 | $124K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 14% | 852 | 835 | $113K |
| D1110 | Prophylaxis - adult | 10% | 1,682 | 1,582 | $82K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 3,035 | 2,892 | $80K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.8% | 2,299 | 2,217 | $78K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.9% | 764 | 376 | $71K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.6% | 6,175 | 4,231 | $60K |
| D1208 | Topical application of fluoride, excluding varnish | 6.9% | 3,995 | 3,818 | $54K |
| D0274 | Bitewings - four radiographic images | 6.6% | 1,932 | 1,810 | $52K |
| D0220 | Intraoral - periapical first radiographic image | 6.4% | 4,767 | 4,527 | $51K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 1,083 | 1,024 | $35K |
| D0272 | Bitewings - two radiographic images | 4.2% | 1,573 | 1,507 | $34K |
| D1351 | Sealant - per tooth | 4.0% | 1,257 | 245 | $32K |
8 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.9% | 451 | $31K |
| D0350 | <1% | 708 | $7K | |
| D0330 | Panoramic radiographic image | <1% | 240 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 185 | $5K |
| D9243 | <1% | 32 | $1K | |
| D9239 | <1% | 13 | $627.44 | |
| D0170 | <1% | 32 | $357.26 | |
| D0603 | <1% | 5,675 | $0.13 |
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 officialGUZMAN, SERGIO (OWNER/ PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Guzman Pediatric Dentistry | Mission, TX | $3.61M |
| Pharr Family Dentistry | Pharr, TX | $157K |
| Edinburg Dental, PLLC | San Juan, TX | $138K |
| Heroes Weslaco PLLC | Weslaco, TX | $99K |
| Nolana Dental, PLLC | Mcallen, TX | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.