Dental
Sako, Ted
Sako, Ted was paid $80K by Medicaid between Jul 2021 and Aug 2024, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 25% of everything it billed.
33Billing provider infoSAKO, TED
GROVES, TX 77619
GROVES, TX 77619
33aNPI1740395979assigned 08/20/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$80K
24GClaims4,370
24DCodes billed12
24AFirst – last monthJul 2021 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,169 of 2,774
Median peer was paid$43K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2021 | 583 | $12K | |
| 2022 | 1,552 | $29K | |
| 2023 | 1,623 | $30K | |
| 2024incomplete | 612 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 743 | 728 | $20K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 360 | 351 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 843 | 823 | $12K |
| D1110 | Prophylaxis - adult | 13% | 198 | 192 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 9.0% | 614 | 601 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.1% | 520 | 509 | $6K |
| D0272 | Bitewings - two radiographic images | 7.0% | 252 | 247 | $6K |
| D0274 | Bitewings - four radiographic images | 6.1% | 152 | 148 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.1% | 26 | 15 | $2K |
| D0603 | 0% | 144 | 134 | $0.00 | |
| D0602 | 0% | 494 | 483 | $0.00 | |
| D0601 | 0% | 24 | 24 | $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.