Dental
Phantastic Smiles PA
Phantastic Smiles PA was paid $766K by Medicaid between Dec 2020 and Dec 2024, across 22 billing codes. Its largest line is D1351, Sealant - per tooth — 16% of everything it billed.
33Billing provider infoPHANTASTIC SMILES PA
PASADENA, TX 77504
PASADENA, TX 77504
33aNPI1710438049assigned 10/21/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$766K
24GClaims31,604
24DCodes billed22
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#398 of 2,774
Median peer was paid$43K
This provider vs. median18×
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 | 287 | $4K | |
| 2021 | 4,031 | $89K | |
| 2022 | 12,593 | $346K | |
| 2023 | 7,948 | $188K | |
| 2024incomplete | 6,745 | $139K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 16% | 4,579 | 993 | $123K |
| D0145 | Oral evaluation for a patient under three years of age | 13% | 688 | 685 | $96K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 3,394 | 3,351 | $96K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 2,313 | 2,292 | $83K |
| D0240 | 8.0% | 6,788 | 3,250 | $61K | |
| D1110 | Prophylaxis - adult | 7.9% | 1,129 | 1,118 | $61K |
| D1208 | Topical application of fluoride, excluding varnish | 6.9% | 3,663 | 3,626 | $53K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.2% | 487 | 314 | $47K |
| D0274 | Bitewings - four radiographic images | 5.2% | 1,246 | 1,232 | $40K |
| D0272 | Bitewings - two radiographic images | 5.1% | 1,720 | 1,701 | $39K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.6% | 189 | 105 | $28K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.0% | 186 | 103 | $16K |
10 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 151 | $11K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 568 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 119 | $4K |
| D0330 | Panoramic radiographic image | <1% | 49 | $987.01 |
| D0140 | Limited oral evaluation - problem focused | <1% | 31 | $563.40 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 40 | $390.88 |
| D1330 | <1% | 160 | $49.75 | |
| D0601 | <1% | 3,281 | $22.05 | |
| D0602 | <1% | 585 | $9.04 | |
| D0603 | 0% | 238 | $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, MINH (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| New Essence Health Care INC. | Houston, TX | $12.35M |
| Minh Phan DDS PA | Pasadena, TX | $174K |
| Phantastic Family Dental Care PA | Houston, TX | $140K |
| Phantastic Dental Care PA | Galena Park, TX | $34K |
| Phantastic Family Dental Center | Pasadena, TX | $844.90 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.