Dental
Lone Star Dentistry Clinic PC
Lone Star Dentistry Clinic PC was paid $37K by Medicaid between Nov 2020 and Nov 2022, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 28% of everything it billed.
33Billing provider infoLONE STAR DENTISTRY CLINIC PC
DALLAS, TX 75203
DALLAS, TX 75203
33aNPI1811147986assigned 09/25/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$37K
24GClaims2,341
24DCodes billed10
24AFirst – last monthNov 2020 – Nov 2022
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,453 of 2,774
Median peer was paid$43K
This provider vs. median0.9×
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 | 200 | $3K | |
| 2021 | 1,198 | $19K | |
| 2022 | 943 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 373 | 356 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 16% | 604 | 375 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 389 | 372 | $5K |
| D1110 | Prophylaxis - adult | 13% | 96 | 92 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 401 | 384 | $4K |
| D0274 | Bitewings - four radiographic images | 8.2% | 92 | 89 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.0% | 81 | 76 | $3K |
| D0330 | Panoramic radiographic image | 2.0% | 20 | 19 | $738.38 |
| D0272 | Bitewings - two radiographic images | <1% | 14 | 13 | $303.94 |
| D0602 | 0% | 271 | 257 | $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 officialQUACH, BAO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Lone Star Dentistry Clinic | Lewisville, TX | $114K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.