Dental
Premiumsmile PLLC
Premiumsmile PLLC was paid $73K by Medicaid between Feb 2024 and Dec 2024, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 23% of everything it billed.
33Billing provider infoPREMIUMSMILE PLLC
HOUSTON, TX 77092
HOUSTON, TX 77092
33aNPI1831978238assigned 09/25/2023
33bProvider typePublic Health Dentist
28Total paid$73K
24GClaims3,965
24DCodes billed13
24AFirst – last monthFeb 2024 – Dec 2024
Compared with peers
Next to other Public Health Dentist providers in Texas
Rank by total paid#11 of 25
Median peer was paid$37K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2024incomplete | 3,965 | $73K |
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 | 23% | 233 | 47 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 404 | 324 | $11K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 330 | 269 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 947 | 368 | $8K |
| D1206 | Topical application of fluoride varnish | 8.0% | 490 | 409 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 6.1% | 454 | 368 | $4K |
| D0274 | Bitewings - four radiographic images | 5.5% | 151 | 123 | $4K |
| D1110 | Prophylaxis - adult | 5.4% | 109 | 84 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 51 | 12 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.2% | 83 | 82 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | 3.1% | 38 | 25 | $2K |
| D0272 | Bitewings - two radiographic images | 2.2% | 94 | 72 | $2K |
1 more codes
| D0603 | <1% | 581 | $0.05 |
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 officialONYIRIMBA, PHILIP (AUTHORIZED OFFICIAL)