Dental
Fort Worth Smilebar PLLC
Fort Worth Smilebar PLLC was paid $988K by Medicaid between Dec 2020 and Dec 2024, across 24 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 30% of everything it billed.
33Billing provider infoFORT WORTH SMILEBAR PLLC
FORT WORTH, TX 76114
FORT WORTH, TX 76114
33aNPI1740813195assigned 02/13/2020
33bProvider typeDentist
28Total paid$988K
24GClaims35,436
24DCodes billed24
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#209 of 1,678
Median peer was paid$35K
This provider vs. median29×
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 | 12 | $0.00 | |
| 2021 | 3,005 | $62K | |
| 2022 | 7,576 | $192K | |
| 2023 | 12,632 | $346K | |
| 2024incomplete | 12,211 | $387K |
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 | 30% | 3,194 | 1,213 | $295K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.0% | 8,713 | 2,283 | $88K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.6% | 2,540 | 2,471 | $85K |
| D1351 | Sealant - per tooth | 8.4% | 3,240 | 864 | $83K |
| D0145 | Oral evaluation for a patient under three years of age | 7.2% | 513 | 503 | $71K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.6% | 2,064 | 2,004 | $55K |
| D9248 | 4.5% | 408 | 390 | $45K | |
| D1206 | Topical application of fluoride varnish | 4.4% | 3,179 | 3,091 | $43K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.6% | 265 | 99 | $35K |
| D0210 | Intraoral - complete series of radiographic images | 3.4% | 527 | 509 | $33K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.3% | 1,329 | 1,199 | $32K |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 2,708 | 2,585 | $31K |
12 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 913 | $30K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 260 | $18K |
| D1110 | Prophylaxis - adult | 1.4% | 284 | $14K |
| D0272 | Bitewings - two radiographic images | 1.2% | 525 | $12K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 70 | $7K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 74 | $5K |
| D2332 | <1% | 18 | $2K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 35 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 52 | $1K |
| D9430 | <1% | 14 | $157.63 | |
| D0603 | 0% | 4,400 | $0.00 | |
| D9986 | 0% | 111 | $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 officialMUND, JUSTIN (OWNER)
Parent organizationSMILE NINJA, PLLC