Dental
Broadmoor SRG PLLC
Broadmoor SRG PLLC was paid $1.06M by Medicaid between Jan 2023 and Dec 2024, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 32% of everything it billed.
33Billing provider infoBROADMOOR SRG PLLC
MESQUITE, TX 75149
MESQUITE, TX 75149
33aNPI1831839455assigned 03/31/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$1.06M
24GClaims25,971
24DCodes billed23
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#309 of 2,774
Median peer was paid$43K
This provider vs. median25×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ABTAHI, NINA controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2023 | 11,318 | $506K | |
| 2024incomplete | 14,653 | $559K |
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 | 32% | 3,550 | 1,158 | $345K |
| D0145 | Oral evaluation for a patient under three years of age | 9.8% | 757 | 739 | $104K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.6% | 631 | 171 | $91K |
| D0210 | Intraoral - complete series of radiographic images | 8.2% | 1,317 | 1,276 | $87K |
| D1351 | Sealant - per tooth | 6.5% | 2,592 | 677 | $69K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.4% | 1,631 | 1,597 | $57K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 1,530 | 1,487 | $51K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.4% | 652 | 318 | $47K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.3% | 1,770 | 1,681 | $46K |
| D1208 | Topical application of fluoride, excluding varnish | 3.0% | 2,315 | 2,243 | $32K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.3% | 898 | 878 | $25K |
| D1110 | Prophylaxis - adult | 2.0% | 414 | 399 | $22K |
11 more codes
| D9248 | 1.5% | 142 | $16K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.5% | 152 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 1,407 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 1,102 | $13K |
| D0272 | Bitewings - two radiographic images | 1.0% | 494 | $11K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 90 | $8K |
| D1330 | <1% | 319 | $4K | |
| D0160 | <1% | 206 | $3K | |
| D0274 | Bitewings - four radiographic images | <1% | 72 | $2K |
| D0350 | <1% | 80 | $843.64 | |
| D0603 | 0% | 3,850 | $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 officialABTAHI, NINA (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| VMD RSVJR PLLC | Houston, TX | $6.39M |
| Luna Commerce PLLC | San Antonio, TX | $5.94M |
| Yarbrough RSVZ PLLC | El Paso, TX | $5.05M |
| Woodlawn RSVH PLLC | San Antonio, TX | $4.36M |
| Research RSVS PLLC | Austin, TX | $3.31M |
| Aventura Dental | San Antonio, TX | $3.27M |
| Nursery Rsva PLLC | Irving, TX | $3.12M |
| Forest RSVJR PLLC | Houston, TX | $2.71M |
| Nfry Katy PLLC | Katy, TX | $2.56M |
| Frontage RSVS PLLC | Austin, TX | $2.53M |
| Zaragoza RSVZ PLLC | El Paso, TX | $2.43M |
| Alameda RSVKH PLLC | Corpus Christi, TX | $2.33M |
| Lake June SRGM PLLC | Dallas, TX | $2.26M |
| Westmorland SRGP PLLC | Dallas, TX | $2.03M |
| Eastchase Mighty PLLC | Fort Worth, TX | $1.42M |
| RSVM Jackson PLLC | San Marcos, TX | $1.14M |
| Santa Maria RSVJR PLLC | Houston, TX | $1.12M |
| Buckner Rsvglc PLLC | Dallas, TX | $1.12M |
| Hildebrand RSVM PLLC | San Antonio, TX | $901K |
| Preston Rsvi PLLC | Dallas, TX | $893K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.