Dental
DFW Stadium Dental PC
DFW Stadium Dental PC was paid $1.48M by Medicaid between Feb 2022 and Oct 2023, across 20 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 36% of everything it billed.
33Billing provider infoDFW STADIUM DENTAL PC
ARLINGTON, TX 76010
ARLINGTON, TX 76010
33aNPI1811668643assigned 09/22/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$1.48M
24GClaims40,586
24DCodes billed20
24AFirst – last monthFeb 2022 – Oct 2023
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#232 of 2,774
Median peer was paid$43K
This provider vs. median35×
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 | |
|---|---|---|---|
| 2022 | 22,257 | $772K | |
| 2023 | 18,329 | $706K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 36% | 5,271 | 1,792 | $526K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13% | 2,551 | 1,011 | $192K |
| D1351 | Sealant - per tooth | 6.3% | 3,466 | 1,142 | $93K |
| D0210 | Intraoral - complete series of radiographic images | 6.2% | 1,376 | 1,337 | $92K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.6% | 2,321 | 2,269 | $83K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.9% | 2,194 | 2,134 | $72K |
| D0145 | Oral evaluation for a patient under three years of age | 4.2% | 442 | 439 | $62K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.1% | 5,542 | 1,964 | $61K |
| D1110 | Prophylaxis - adult | 3.8% | 1,051 | 1,026 | $56K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.6% | 2,031 | 1,982 | $53K |
| D1208 | Topical application of fluoride, excluding varnish | 3.4% | 3,480 | 3,402 | $50K |
| D0350 | 2.5% | 2,120 | 2,053 | $36K |
8 more codes
| D0120 | Dental checkup, returning patient | 2.4% | 1,239 | $35K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 2,073 | $25K |
| D0274 | Bitewings - four radiographic images | 1.6% | 695 | $23K |
| D0272 | Bitewings - two radiographic images | <1% | 584 | $13K |
| D2330 | <1% | 48 | $4K | |
| D9248 | <1% | 13 | $2K | |
| D0170 | <1% | 29 | $314.26 | |
| D0603 | 0% | 4,060 | $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 officialLUKA, BEN (OWNER/ DENTIST)
| Provider | Location | Paid |
|---|---|---|
| DFW Dental Capital PC | Mesquite, TX | $906K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.