Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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SH Dental PLLC

SH Dental PLLC was paid $148K by Medicaid between Dec 2020 and Dec 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 36% of everything it billed.

33Billing provider infoSH DENTAL PLLC
ARLINGTON, TX 76017
33aNPI1780190918assigned 12/26/2017
33bProvider typeDental Clinic/Center
28Total paid$148K
24GClaims6,641
24DCodes billed15
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers

Next to other Dental Clinic/Center providers in Texas

Rank by total paid#118 of 255
Median peer was paid$110K
This provider vs. median1.3×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2020365$12K
20211,972$53K
20221,963$49K
20231,257$17K
2024incomplete1,084$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 36% 583 202 $54K
D1120 Dental cleaning, childProphylaxis - child 12% 532 507 $17K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 8.5% 476 454 $13K
D1208 Topical application of fluoride, excluding varnish 8.2% 887 848 $12K
D0272 Bitewings - two radiographic images 7.4% 510 485 $11K
D0220 Intraoral - periapical first radiographic image 5.6% 971 922 $8K
D1351 Sealant - per tooth 4.8% 336 72 $7K
D0230 Intraoral - periapical each additional radiographic image 4.6% 910 869 $7K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4.3% 84 40 $6K
D0150 Comprehensive oral evaluation - new or established patient 4.0% 173 170 $6K
D0330 Panoramic radiographic image 2.9% 110 108 $4K
D1110 Prophylaxis - adult 1.3% 39 37 $2K
3 more codes
D0274 Bitewings - four radiographic images <1% 39 $1K
D0603 0% 972 $0.00
D0601 0% 19 $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 officialSONG, SEUNG (OWNER)