SD-933SCHERTZ PC

NPI: 1801347125 · SCHERTZ, TX 78154 · General Practice Dentistry · NPI assigned 10/21/2016

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official PHAM, LYNHTHY controls 20+ related entities in our dataset. Read more

$22K

Total Medicaid Paid

1,304

Total Claims

1,178

Beneficiaries

Codes Billed

2021-04

First Month

2021-12

Last Month

Provider Details

Authorized Official	PHAM, LYNHTHY (PRESIDENT)
NPI Enumeration Date	10/21/2016

Other providers sharing the same authorized official: PHAM, LYNHTHY

Provider	City	State	Total Paid
SD GREENVILLE LLC	GREENVILLE	TX	$719K
SD CORPUS CHRISTI PLLC	CORPUS CHRISTI	TX	$557K
SD- ROOSEVELT PC	SAN ANTONIO	TX	$314K
SD TEXARKANA	TEXARKANA	TX	$280K
SD- 4315FREDERICK PC	SAN ANTONIO	TX	$218K
SMILEY DENTAL SINGLETON PLLC	DALLAS	TX	$215K
SD- POTRANCO, PC	SAN ANTONIO	TX	$178K
SMILEY DENTAL - UNIVERSITY	DENTON	TX	$114K
SMILEY DENTAL MCCART PLLC	FORT WORTH	TX	$55K
SMILEY DENTAL KEMP PLLC	WICHITA FALLS	TX	$47K
SD MEADOWBROOK PLLC	FORT WORTH	TX	$26K
SD-BRAUN, PC	SAN ANTONIO	TX	$22K
SD-HWY 78 PC	SAN ANTONIO	TX	$20K
SD-DEZAVALA PC	SAN ANTONIO	TX	$15K
SMILEY DENTAL LAMAR PLLC	AUSTIN	TX	$12K
SD SAGINAW PLLC	SAGINAW	TX	$8K
SD PARK ROW PLLC	ARLINGTON	TX	$6K
SD HALTOM CITY PLLC	HALTOM CITY	TX	$4K
SD VALLEY MILLS PLLC	WACO	TX	$3K
SD PARK LAKE PLLC	WACO	TX	$2K

Year	Claims	Total Paid
2021	1,304	$22K

Code	Description	Claims	Beneficiaries	Total Paid
D0120	Periodic oral evaluation - established patient	172	159	$4K
D1120	Prophylaxis - child	96	91	$3K
D1208	Topical application of fluoride, excluding varnish	227	214	$3K
D1110	Prophylaxis - adult	55	53	$3K
D0274	Bitewings - four radiographic images	89	85	$2K
D0230	Intraoral - periapical each additional radiographic image	271	201	$2K
D0220	Intraoral - periapical first radiographic image	222	206	$2K
D0150	Comprehensive oral evaluation - new or established patient	28	27	$894.36
D0602		144	142	$0.00