Phan, Mercedes

Phan, Mercedes was paid $16K by Medicaid between Nov 2023 and Nov 2024, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.

33Billing provider infoPHAN, MERCEDES
PASADENA, TX 77504

33aNPI1760165336assigned 08/10/2023

33bProvider typeGeneral Practice Dentistry

28Total paid$16K

24GClaims1,061

24DCodes billed9

24AFirst – last monthNov 2023 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#1,711 of 2,774

Median peer was paid$43K

This provider vs. median0.4×

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
2023	13	$0.00
2024incomplete	1,048	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	31%	179	177	$5K
D1120	Dental cleaning, childProphylaxis - child	21%	92	92	$3K
D0240		19%	327	163	$3K
D1208	Topical application of fluoride, excluding varnish	17%	198	196	$3K
D0272	Bitewings - two radiographic images	8.7%	61	61	$1K
D0274	Bitewings - four radiographic images	2.1%	12	12	$346.10
D0220	Intraoral - periapical first radiographic image	<1%	13	13	$150.72
D0602		0%	12	12	$0.00
D0601		0%	167	166	$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.