Dental
Legend Dental-Georgetown
Legend Dental-Georgetown was paid $919K by Medicaid between Nov 2020 and Dec 2024, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 26% of everything it billed.
33Billing provider infoLEGEND DENTAL-GEORGETOWN
GEORGETOWN, TX 78628
GEORGETOWN, TX 78628
33aNPI1699042259assigned 11/28/2011
33bProvider typeDentist
28Total paid$919K
24GClaims38,950
24DCodes billed23
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#221 of 1,678
Median peer was paid$35K
This provider vs. median27×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PU, MARY controls 20+ related entities in our dataset. Read more
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 | 700 | $20K | |
| 2021 | 7,896 | $204K | |
| 2022 | 10,463 | $295K | |
| 2023 | 12,375 | $259K | |
| 2024incomplete | 7,516 | $142K |
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 | 26% | 2,710 | 956 | $235K |
| D1110 | Prophylaxis - adult | 11% | 2,392 | 2,083 | $102K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 4,301 | 3,740 | $101K |
| D0274 | Bitewings - four radiographic images | 9.9% | 3,692 | 3,192 | $91K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.5% | 3,002 | 2,598 | $87K |
| D1206 | Topical application of fluoride varnish | 5.8% | 4,484 | 3,896 | $53K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.7% | 632 | 267 | $43K |
| D1351 | Sealant - per tooth | 4.6% | 1,813 | 342 | $42K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 5,274 | 1,776 | $39K |
| D0145 | Oral evaluation for a patient under three years of age | 3.6% | 298 | 260 | $33K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 818 | 680 | $22K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 2,283 | 1,974 | $20K |
11 more codes
| D0330 | Panoramic radiographic image | 1.6% | 1,146 | $15K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.0% | 98 | $9K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 307 | $7K |
| D0272 | Bitewings - two radiographic images | <1% | 429 | $7K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 79 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 305 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 37 | $827.78 |
| D0140 | Limited oral evaluation - problem focused | <1% | 26 | $431.94 |
| D0602 | 0% | 1,915 | $0.00 | |
| D0603 | 0% | 1,710 | $0.00 | |
| D0601 | 0% | 1,199 | $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 officialPU, MARY (VP OF FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Red Rock Dental-Farmington | Irving, TX | $3.59M |
| Sage Dental | Baytown, TX | $2.35M |
| Peppermint Dental-Montgomery LLC | Albuquerque, NM | $2.14M |
| Sage Dental-Deer Park PLLC | La Porte, TX | $1.87M |
| Vinh Ngo Dentistry PLLC | Victoria, TX | $1.65M |
| Element Dental-Bryan PLLC | Bryan, TX | $1.57M |
| Fusion Dental | Irving, TX | $1.49M |
| Element Dental-Conroe PLLC | Irving, TX | $1.49M |
| Gulfside Dental Port Arthur PLLC | Port Arthur, TX | $1.39M |
| Peppermint Dental-Rio Bravo LLC | Albuquerque, NM | $1.29M |
| Fresh Dental-Shreveport | Irving, TX | $1.27M |
| Fresh Dental-Bossier City | Irving, TX | $1.21M |
| Peppermint Dental-Sherman PLLC | Sherman, TX | $1.17M |
| Element Dental PLLC | Lufkin, TX | $1.06M |
| Rio Dental and Orthodontics LLC | Rio Rancho, NM | $1.00M |
| Element Dental-Humble PLLC | Humble, TX | $942K |
| Gulfside Dental | Beaumont, TX | $939K |
| Bliss Dental PLLC | Odessa, TX | $827K |
| Bliss Dental Lubbock PLLC | Lubbock, TX | $826K |
| Archstone Dental-Granbury PLLC | Granbury, TX | $817K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.