Mason Creek Dental PC

Mason Creek Dental PC was paid $12K by Medicaid between Dec 2020 and Apr 2022, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.

33Billing provider infoMASON CREEK DENTAL PC
KATY, TX 77449

33aNPI1760854673assigned 10/30/2015

33bProvider typeDental Clinic/Center

28Total paid$12K

24GClaims825

24DCodes billed7

24AFirst – last monthDec 2020 – Apr 2022

Compared with peers

Next to other Dental Clinic/Center providers in Texas

Rank by total paid#192 of 255

Median peer was paid$110K

This provider vs. median0.1×

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	110	$2K
2021	450	$6K
2022	265	$4K

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%	136	131	$4K
D1120	Dental cleaning, childProphylaxis - child	24%	83	80	$3K
D0220	Intraoral - periapical first radiographic image	14%	143	139	$2K
D1208	Topical application of fluoride, excluding varnish	14%	116	111	$2K
D0230	Intraoral - periapical each additional radiographic image	13%	140	134	$1K
D0272	Bitewings - two radiographic images	5.0%	27	26	$584.50
D0601		0%	180	178	$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 officialPALUK, SERGIO (DENTIST)