Dental
Ideal Dental of Mansfield PLLC
Ideal Dental of Mansfield PLLC was paid $117.60 by Medicaid between Jul 2023 and Jul 2023, across 1 billing code. Its largest line is D1208, Topical application of fluoride, excluding varnish — 100% of everything it billed.
33Billing provider infoIDEAL DENTAL OF MANSFIELD PLLC
DALLAS, TX 75251
DALLAS, TX 75251
33aNPI1750823589assigned 11/10/2016
33bProvider typeDentist
28Total paid$117.60
24GClaims12
24DCodes billed1
24AFirst – last monthJul 2023 – Jul 2023
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#1,575 of 1,678
Median peer was paid$35K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 12 | $117.60 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 100% | 12 | 12 | $117.60 |
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 officialPATEL, SHALIN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Milestone Dental, PLLC | Arlington, TX | $285.69 |
| Ideal Dental of Clifford Crossing PLLC | Fort Worth, TX | $132.30 |
| Ideal Dental of Roanoke PLLC | Roanoke, TX | $100.48 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.