Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Ft Worth › NPI 1801185608
Dental

R & R 15 15, LLC

R & R 15 15, LLC was paid $877K by Medicaid between Nov 2020 and Nov 2024, across 18 billing codes. Its largest line is D1351, Sealant - per tooth — 14% of everything it billed.

33Billing provider infoR & R 15 15, LLC
FT WORTH, TX 76133
33aNPI1801185608assigned 04/01/2011
28Total paid$877K
24GClaims35,693
24DCodes billed18
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#360 of 2,774
Median peer was paid$43K
This provider vs. median21×

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$20K$40K$60K2018201920202021202220232024
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
2020820$19K
202110,241$256K
202211,649$318K
20238,261$203K
2024incomplete4,722$81K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1351 Sealant - per tooth 14% 4,610 736 $125K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 12% 1,050 592 $102K
D1120 Dental cleaning, childProphylaxis - child 9.5% 2,393 2,350 $84K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 9.5% 3,024 2,976 $83K
D0145 Oral evaluation for a patient under three years of age 9.0% 569 563 $78K
D1110 Prophylaxis - adult 8.7% 1,476 1,456 $76K
D0230 Intraoral - periapical each additional radiographic image 8.0% 6,550 3,145 $70K
D1208 Topical application of fluoride, excluding varnish 6.2% 3,862 3,801 $54K
D0274 Bitewings - four radiographic images 5.3% 1,425 1,403 $47K
D0210 Intraoral - complete series of radiographic images 4.7% 625 616 $42K
D0220 Intraoral - periapical first radiographic image 4.6% 3,375 3,318 $40K
D0150 Comprehensive oral evaluation - new or established patient 3.6% 949 934 $31K
6 more codes
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.9% 354 $25K
D0272 Bitewings - two radiographic images 2.2% 866 $19K
D0330 Panoramic radiographic image <1% 19 $87.42
D0603 <1% 3,958 $5.00
D0601 0% 89 $0.00
D0602 0% 499 $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 officialZAMANIAN, REZA (OWNER/DENTIST)