Dental
Smiles of North Shore
Smiles of North Shore was paid $1.36M by Medicaid between Oct 2018 and Dec 2024, across 22 billing codes. Its largest line is D1351, Sealant - per tooth — 22% of everything it billed.
33Billing provider infoSMILES OF NORTH SHORE
HOUSTON, TX 77015
HOUSTON, TX 77015
33aNPI1780840009assigned 08/06/2008
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$1.36M
24GClaims57,128
24DCodes billed22
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Texas
Rank by total paid#8 of 87
Median peer was paid$54K
This provider vs. median25×
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 | |
|---|---|---|---|
| 2018 | 36 | $465.24 | |
| 2019 | 249 | $6K | |
| 2020 | 3,049 | $61K | |
| 2021 | 16,700 | $398K | |
| 2022 | 14,360 | $349K | |
| 2023 | 13,087 | $310K | |
| 2024incomplete | 9,647 | $232K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 22% | 11,746 | 2,442 | $295K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 5,627 | 5,439 | $152K |
| D0145 | Oral evaluation for a patient under three years of age | 11% | 1,109 | 1,090 | $150K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.9% | 3,928 | 3,800 | $134K |
| D1110 | Prophylaxis - adult | 8.1% | 2,164 | 2,082 | $109K |
| D1208 | Topical application of fluoride, excluding varnish | 6.2% | 6,081 | 5,877 | $84K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.0% | 891 | 505 | $81K |
| D0272 | Bitewings - two radiographic images | 5.5% | 3,381 | 3,263 | $74K |
| D0220 | Intraoral - periapical first radiographic image | 4.9% | 5,642 | 5,415 | $66K |
| D0274 | Bitewings - four radiographic images | 4.5% | 1,960 | 1,887 | $62K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 5,478 | 5,193 | $59K |
| D0210 | Intraoral - complete series of radiographic images | 3.1% | 662 | 649 | $42K |
10 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.9% | 349 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 233 | $7K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 50 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 155 | $4K |
| D1330 | <1% | 394 | $3K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 72 | $1K |
| D0330 | Panoramic radiographic image | <1% | 60 | $709.88 |
| D0603 | 0% | 1,177 | $0.00 | |
| D0602 | 0% | 3,079 | $0.00 | |
| D0601 | 0% | 2,890 | $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 officialCISNEROS, VICTORIA (DOCTOR)
| Provider | Location | Paid |
|---|---|---|
| Victoria Q. Cisneros Dentistry PLLC | Houston, TX | $155K |
| Cisneros Dentistry | Houston, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.