Dental
East Texas Dental Group, LLC
East Texas Dental Group, LLC was paid $282K by Medicaid between Aug 2018 and Nov 2021, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoEAST TEXAS DENTAL GROUP, LLC
TYLER, TX 75703
TYLER, TX 75703
33aNPI1750743167assigned 03/24/2016
33bProvider typeDentist
28Total paid$282K
24GClaims12,742
24DCodes billed19
24AFirst – last monthAug 2018 – Nov 2021
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#441 of 1,678
Median peer was paid$35K
This provider vs. median8.2×
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 | |
|---|---|---|---|
| 2018 | 13 | $0.00 | |
| 2019 | 57 | $1K | |
| 2020 | 608 | $14K | |
| 2021 | 12,064 | $267K |
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 | 15% | 508 | 264 | $43K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,763 | 1,568 | $38K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 263 | 132 | $33K |
| D1110 | Prophylaxis - adult | 12% | 834 | 746 | $33K |
| D0274 | Bitewings - four radiographic images | 10% | 1,216 | 1,061 | $28K |
| D1351 | Sealant - per tooth | 7.5% | 953 | 162 | $21K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.2% | 770 | 670 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 1,593 | 1,419 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.4% | 1,449 | 1,286 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.3% | 172 | 104 | $12K |
| D1206 | Topical application of fluoride varnish | 3.9% | 992 | 892 | $11K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.3% | 297 | 264 | $7K |
7 more codes
| D0272 | Bitewings - two radiographic images | 1.5% | 255 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 1.1% | 290 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 34 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $184.04 |
| D0603 | 0% | 950 | $0.00 | |
| D0601 | 0% | 153 | $0.00 | |
| D0602 | 0% | 237 | $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 officialSHIM, YOUNG (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Willowplace Star Dental | Houston, TX | $1.03M |
| 6 Day Dental Group - Flower Mound, PLLC | Flower Mound, TX | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.