Dental
Precision Smile Structure Ingram
Precision Smile Structure Ingram was paid $1.50M by Medicaid between Oct 2020 and Dec 2024, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoPRECISION SMILE STRUCTURE INGRAM
SAN ANTONIO, TX 78238
SAN ANTONIO, TX 78238
33aNPI1710415989assigned 05/31/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$1.50M
24GClaims56,947
24DCodes billed23
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#230 of 2,774
Median peer was paid$43K
This provider vs. median35×
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 | 1,984 | $57K | |
| 2021 | 16,778 | $477K | |
| 2022 | 17,409 | $453K | |
| 2023 | 12,071 | $323K | |
| 2024incomplete | 8,705 | $194K |
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 | 18% | 2,922 | 1,213 | $267K |
| D1110 | Prophylaxis - adult | 11% | 3,276 | 3,211 | $164K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 5,752 | 5,574 | $154K |
| D0145 | Oral evaluation for a patient under three years of age | 9.6% | 1,091 | 1,066 | $145K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.0% | 3,625 | 3,505 | $120K |
| D0274 | Bitewings - four radiographic images | 8.0% | 3,762 | 3,664 | $120K |
| D1208 | Topical application of fluoride, excluding varnish | 6.3% | 6,981 | 6,793 | $95K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.6% | 8,065 | 5,383 | $84K |
| D0220 | Intraoral - periapical first radiographic image | 4.5% | 5,882 | 5,677 | $68K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.3% | 912 | 480 | $65K |
| D0210 | Intraoral - complete series of radiographic images | 2.7% | 631 | 618 | $40K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 1,191 | 1,165 | $39K |
11 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.3% | 1,386 | $35K |
| D0272 | Bitewings - two radiographic images | 2.3% | 1,586 | $35K |
| D7240 | Removal of impacted tooth - completely bony | 2.1% | 115 | $31K |
| D1351 | Sealant - per tooth | <1% | 586 | $14K |
| D8670 | Periodic orthodontic treatment visit | <1% | 211 | $13K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 104 | $9K |
| D9248 | <1% | 31 | $4K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 123 | $2K |
| D1330 | <1% | 24 | $12.25 | |
| D0603 | <1% | 8,542 | $0.05 | |
| D9986 | 0% | 149 | $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 officialSMITH, ADAM (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Precision Smile Structure Mission | San Antonio, TX | $2.07M |
| Precision Smile Structure Helotes, PLLC | Helotes, TX | $28K |
| De Zavala Precision Smile Structure | San Antonio, TX | $24K |
| Babcock Precision Smile PLLC | San Antonio, TX | $6K |
| TGH Surgery Center at Morsani, LLC | Tampa, FL | $6K |
| Rocky Mountain Brain & Spine Institute PLLC | Highlands Ranch, CO | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.