Dental
Everbright Dental PLLC
Everbright Dental PLLC was paid $215K by Medicaid between Dec 2020 and Dec 2024, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.
33Billing provider infoEVERBRIGHT DENTAL PLLC
MONTGOMERY, TX 77356
MONTGOMERY, TX 77356
33aNPI1760999726assigned 12/29/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$215K
24GClaims10,225
24DCodes billed16
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#801 of 2,774
Median peer was paid$43K
This provider vs. median5.0×
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 | |
|---|---|---|---|
| 2020 | 37 | $0.00 | |
| 2021 | 1,221 | $20K | |
| 2022 | 3,237 | $78K | |
| 2023 | 2,818 | $63K | |
| 2024incomplete | 2,912 | $54K |
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 | 22% | 549 | 226 | $47K |
| D1351 | Sealant - per tooth | 14% | 1,132 | 211 | $31K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 1,128 | 1,103 | $30K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 763 | 749 | $27K |
| D1110 | Prophylaxis - adult | 9.0% | 392 | 379 | $19K |
| D0274 | Bitewings - four radiographic images | 6.8% | 539 | 523 | $15K |
| D1206 | Topical application of fluoride varnish | 5.8% | 911 | 886 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.2% | 1,502 | 457 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 627 | 602 | $5K |
| D0272 | Bitewings - two radiographic images | 2.2% | 246 | 237 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 2.2% | 339 | 333 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 133 | 133 | $5K |
4 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 officialKIM, SOJIN (OWNER/DENETIST)