Dental
Sea of Smiles Pediatric Dentistry
Sea of Smiles Pediatric Dentistry was paid $261K by Medicaid between Nov 2020 and Dec 2024, across 18 billing codes. Its largest line is D1351, Sealant - per tooth — 18% of everything it billed.
33Billing provider infoSEA OF SMILES PEDIATRIC DENTISTRY
FRISCO, TX 75034
FRISCO, TX 75034
33aNPI1689028821assigned 04/13/2016
33bProvider typePediatric Dentist
28Total paid$261K
24GClaims14,109
24DCodes billed18
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#342 of 693
Median peer was paid$252K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2020 | 805 | $15K | |
| 2021 | 6,191 | $131K | |
| 2022 | 4,651 | $82K | |
| 2023 | 2,042 | $27K | |
| 2024incomplete | 420 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 18% | 1,750 | 315 | $47K |
| D0145 | Oral evaluation for a patient under three years of age | 16% | 299 | 293 | $41K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 1,141 | 1,096 | $40K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 996 | 956 | $27K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.2% | 2,351 | 1,470 | $24K |
| D0272 | Bitewings - two radiographic images | 8.2% | 1,014 | 973 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 7.1% | 1,698 | 1,614 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 6.1% | 1,139 | 1,098 | $16K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.6% | 126 | 41 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 183 | 180 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 99 | 94 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 142 | 132 | $2K |
6 more codes
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 officialDOAN, DANA (OWNER)