Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Rodeo Dental Main Street, PLLC

Rodeo Dental Main Street, PLLC was paid $9.73M by Medicaid between Feb 2018 and Dec 2024, across 35 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.

33Billing provider infoRODEO DENTAL MAIN STREET, PLLC
FORT WORTH, TX 76106
33aNPI1841427655assigned 06/18/2009
28Total paid$9.73M
24GClaims314,124
24DCodes billed35
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#8 of 2,774
Median peer was paid$43K
This provider vs. median228×

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 ZARRABI, SAAM controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
2018451$8K
2019879$15K
20208,855$272K
202176,845$2.31M
202278,789$2.41M
202380,637$2.50M
2024incomplete67,668$2.21M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 15% 15,277 6,480 $1.44M
D2930 Prefabricated stainless steel crown - primary tooth 10% 6,997 1,325 $984K
D1351 Sealant - per tooth 9.9% 38,781 10,157 $965K
D2391 Resin-based composite - one surface, posterior, primary or permanent 8.8% 11,513 5,852 $851K
D0145 Oral evaluation for a patient under three years of age 8.6% 6,023 5,984 $837K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 7.3% 25,581 25,378 $711K
D1120 Dental cleaning, childProphylaxis - child 6.3% 17,276 17,131 $608K
D1110 Prophylaxis - adult 5.4% 10,020 9,930 $523K
D0230 Intraoral - periapical each additional radiographic image 5.0% 44,957 27,551 $482K
D1208 Topical application of fluoride, excluding varnish 4.1% 28,017 27,768 $396K
D0274 Bitewings - four radiographic images 3.7% 11,162 11,076 $364K
D0220 Intraoral - periapical first radiographic image 3.6% 29,773 29,390 $347K
23 more codes
D0272 Bitewings - two radiographic images 2.3% 10,205 $225K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.8% 6,623 $174K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 1.7% 2,104 $168K
D9248 1.3% 1,148 $125K
D2934 1.1% 769 $107K
D0150 Comprehensive oral evaluation - new or established patient <1% 2,831 $95K
D2330 <1% 815 $59K
D0140 Limited oral evaluation - problem focused <1% 2,186 $38K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment <1% 788 $36K
D0210 Intraoral - complete series of radiographic images <1% 495 $32K
D0160 <1% 1,859 $27K
D9222 <1% 406 $26K
D0330 Panoramic radiographic image <1% 883 $25K
D3330 Endodontic therapy, molar tooth (excluding final restoration) <1% 34 $19K
D7140 Extraction, erupted tooth or exposed root <1% 327 $19K
D1330 <1% 1,410 $16K
D7240 Removal of impacted tooth - completely bony <1% 56 $14K
D2950 <1% 174 $7K
D9612 <1% 233 $6K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 53 $5K
D0270 <1% 15 $68.60
D3910 <1% 13 $35.84
D0603 0% 35,320 $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 officialZARRABI, SAAM (OWNER)
Same official

Other billing entities under ZARRABI, SAAM

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.