Dental
Premium Dental
Premium Dental was paid $65K by Medicaid between Nov 2020 and Dec 2024, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.
33Billing provider infoPREMIUM DENTAL
DENTON, TX 76205
DENTON, TX 76205
33aNPI1720228893assigned 03/02/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$65K
24GClaims4,619
24DCodes billed13
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,239 of 2,774
Median peer was paid$43K
This provider vs. median1.5×
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 | 44 | $189.63 | |
| 2021 | 833 | $12K | |
| 2022 | 1,776 | $27K | |
| 2023 | 1,079 | $14K | |
| 2024incomplete | 887 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 765 | 730 | $20K |
| D1206 | Topical application of fluoride varnish | 19% | 935 | 887 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 285 | 269 | $9K |
| D1110 | Prophylaxis - adult | 11% | 141 | 133 | $7K |
| D0274 | Bitewings - four radiographic images | 7.7% | 190 | 180 | $5K |
| D0272 | Bitewings - two radiographic images | 4.5% | 141 | 133 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 269 | 254 | $3K |
| D1351 | Sealant - per tooth | 3.0% | 77 | 13 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 23 | 12 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 149 | 128 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | 12 | $423.84 |
| D0603 | 0% | 694 | 674 | $0.00 |
1 more codes
| D0602 | 0% | 938 | $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 officialTRAN, SUSAN (CO-OWNER)