Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Sea Lotus Dentistry PLLC

Sea Lotus Dentistry PLLC was paid $237K by Medicaid between Nov 2020 and Dec 2024, across 16 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 19% of everything it billed.

33Billing provider infoSEA LOTUS DENTISTRY PLLC
PEARLAND, TX 77584
33aNPI1720567274assigned 08/07/2018
28Total paid$237K
24GClaims14,255
24DCodes billed16
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#762 of 2,774
Median peer was paid$43K
This provider vs. median5.6×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2020196$2K
20212,217$37K
20224,063$69K
20233,983$77K
2024incomplete3,796$52K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0230 Intraoral - periapical each additional radiographic image 19% 5,040 1,499 $45K
D0145 Oral evaluation for a patient under three years of age 14% 301 252 $34K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 11% 994 940 $25K
D1120 Dental cleaning, childProphylaxis - child 10.0% 693 676 $24K
D1110 Prophylaxis - adult 9.3% 491 475 $22K
D1208 Topical application of fluoride, excluding varnish 8.3% 1,451 1,408 $20K
D0220 Intraoral - periapical first radiographic image 7.2% 1,676 1,594 $17K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 7.1% 178 83 $17K
D0274 Bitewings - four radiographic images 6.1% 554 527 $14K
D1351 Sealant - per tooth 3.9% 349 65 $9K
D0150 Comprehensive oral evaluation - new or established patient 3.8% 339 322 $9K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 34 28 $894.63
4 more codes
D0330 Panoramic radiographic image <1% 36 $171.87
D0603 <1% 583 $54.00
D0602 <1% 1,509 $18.20
D0601 0% 27 $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 officialDOAN, SOPHIE (MANAGING MEMBER)