Dental
Healthy Smile Dental, PA
Healthy Smile Dental, PA was paid $227K by Medicaid between Nov 2020 and Sep 2024, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 19% of everything it billed.
33Billing provider infoHEALTHY SMILE DENTAL, PA
KATY, TX 77449
KATY, TX 77449
33aNPI1689949000assigned 03/19/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$227K
24GClaims11,136
24DCodes billed14
24AFirst – last monthNov 2020 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#782 of 2,774
Median peer was paid$43K
This provider vs. median5.3×
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 | 461 | $9K | |
| 2021 | 3,276 | $68K | |
| 2022 | 3,482 | $73K | |
| 2023 | 2,820 | $56K | |
| 2024incomplete | 1,097 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 1,533 | 1,529 | $44K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 971 | 968 | $35K |
| D0274 | Bitewings - four radiographic images | 12% | 821 | 818 | $28K |
| D1110 | Prophylaxis - adult | 12% | 499 | 498 | $27K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 1,680 | 1,675 | $24K |
| D0220 | Intraoral - periapical first radiographic image | 9.5% | 1,740 | 1,730 | $22K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.4% | 1,677 | 1,672 | $19K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.1% | 116 | 63 | $12K |
| D0272 | Bitewings - two radiographic images | 4.3% | 421 | 420 | $10K |
| D1351 | Sealant - per tooth | 2.6% | 256 | 57 | $6K |
| D1330 | <1% | 39 | 39 | $196.00 | |
| D0603 | 0% | 458 | 454 | $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 officialPHAN, THANHHANG (PRESIDENT OF HEALTHY SMILE DENTAL)