Dental
1ST Dental & Orthodontics
1ST Dental & Orthodontics was paid $103K by Medicaid between Dec 2021 and Nov 2024, across 15 billing codes. Its largest line is D1351, Sealant - per tooth — 15% of everything it billed.
33Billing provider info1ST DENTAL & ORTHODONTICS
FORT WORTH, TX 76123
FORT WORTH, TX 76123
33aNPI1740945260assigned 11/01/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$103K
24GClaims4,852
24DCodes billed15
24AFirst – last monthDec 2021 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,059 of 2,774
Median peer was paid$43K
This provider vs. median2.4×
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 | 16 | $161.70 | |
| 2022 | 1,286 | $23K | |
| 2023 | 1,367 | $26K | |
| 2024incomplete | 2,183 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 15% | 639 | 127 | $16K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 451 | 438 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 144 | 65 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 10% | 954 | 444 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.9% | 381 | 369 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 9.1% | 699 | 672 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 5.7% | 506 | 491 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.4% | 174 | 166 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.3% | 75 | 41 | $5K |
| D1110 | Prophylaxis - adult | 3.9% | 86 | 82 | $4K |
| D0274 | Bitewings - four radiographic images | 3.0% | 99 | 98 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 3.0% | 47 | 46 | $3K |
3 more codes
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 officialFETOUH, OMAR (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Wish Dental PLLC | North Richland Hills, TX | $1.12M |
| Omar Fetouh, D.D.S., M.S., P.C. | Saginaw, TX | $673K |
| NRH Dental PLLC | North Richland Hills, TX | $578K |
| Denton Dental PLLC | Denton, TX | $525K |
| My Teeth Dental Orthodontics PLLC | Mesquite, TX | $22K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.