Dental
San Angelo Dental , PLLC
San Angelo Dental , PLLC was paid $520K by Medicaid between May 2020 and Nov 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.
33Billing provider infoSAN ANGELO DENTAL , PLLC
SANANGELO, TX 76903
SANANGELO, TX 76903
33aNPI1821475161assigned 05/06/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$520K
24GClaims22,778
24DCodes billed18
24AFirst – last monthMay 2020 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#516 of 2,774
Median peer was paid$43K
This provider vs. median12×
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 | 1,457 | $34K | |
| 2021 | 7,116 | $182K | |
| 2022 | 7,565 | $171K | |
| 2023 | 4,353 | $88K | |
| 2024incomplete | 2,287 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 2,044 | 1,996 | $72K |
| D0145 | Oral evaluation for a patient under three years of age | 14% | 517 | 512 | $71K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 2,400 | 2,342 | $66K |
| D1110 | Prophylaxis - adult | 9.0% | 916 | 904 | $47K |
| D1208 | Topical application of fluoride, excluding varnish | 7.8% | 2,896 | 2,825 | $41K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.9% | 418 | 234 | $36K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.8% | 3,219 | 2,566 | $35K |
| D0220 | Intraoral - periapical first radiographic image | 6.7% | 2,887 | 2,812 | $35K |
| D0272 | Bitewings - two radiographic images | 5.4% | 1,268 | 1,237 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 795 | 774 | $27K |
| D0274 | Bitewings - four radiographic images | 4.9% | 781 | 771 | $26K |
| D0210 | Intraoral - complete series of radiographic images | 3.7% | 301 | 290 | $19K |
6 more codes
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 officialSHARMA, SEEMA (OWNER /DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Bowie Smiles, PC | Bowie, TX | $256K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.