Dental
Ace Dental04, PC
Ace Dental04, PC was paid $477K by Medicaid between Oct 2020 and Dec 2024, across 16 billing codes. Its largest line is D1351, Sealant - per tooth — 27% of everything it billed.
33Billing provider infoACE DENTAL04, PC
HARKER HEIGHTS, TX 76548
HARKER HEIGHTS, TX 76548
33aNPI1780110916assigned 05/09/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$477K
24GClaims22,208
24DCodes billed16
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#539 of 2,774
Median peer was paid$43K
This provider vs. median11×
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 | 621 | $15K | |
| 2021 | 6,626 | $145K | |
| 2022 | 5,838 | $123K | |
| 2023 | 5,167 | $114K | |
| 2024incomplete | 3,956 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 27% | 4,738 | 810 | $129K |
| D0145 | Oral evaluation for a patient under three years of age | 12% | 428 | 426 | $58K |
| D1110 | Prophylaxis - adult | 11% | 1,072 | 1,060 | $54K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.5% | 1,667 | 1,643 | $46K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.2% | 1,118 | 1,101 | $39K |
| D0274 | Bitewings - four radiographic images | 7.9% | 1,530 | 1,505 | $38K |
| D1208 | Topical application of fluoride, excluding varnish | 6.6% | 2,260 | 2,226 | $31K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.1% | 4,175 | 1,199 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 523 | 513 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.2% | 160 | 63 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 1,559 | 1,447 | $13K |
| D0330 | Panoramic radiographic image | <1% | 209 | 204 | $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 officialCHAKRAVARTY, AC (BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Ace Dental05, PLLC | Temple, TX | $261K |
| Ace Dental06, PC | Waco, TX | $114K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.