Dental
Mini Apple Dental Enterprise PLLC
Mini Apple Dental Enterprise PLLC was paid $2.97M by Medicaid between May 2018 and Dec 2024, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 29% of everything it billed.
33Billing provider infoMINI APPLE DENTAL ENTERPRISE PLLC
FORT WORTH, TX 76111
FORT WORTH, TX 76111
33aNPI1851773857assigned 06/25/2015
33bProvider typeDentist
28Total paid$2.97M
24GClaims90,929
24DCodes billed21
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#65 of 1,678
Median peer was paid$35K
This provider vs. median86×
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 | |
|---|---|---|---|
| 2018 | 475 | $21K | |
| 2019 | 502 | $19K | |
| 2020 | 3,118 | $97K | |
| 2021 | 21,043 | $632K | |
| 2022 | 25,127 | $744K | |
| 2023 | 20,927 | $772K | |
| 2024incomplete | 19,737 | $690K |
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 | 29% | 8,527 | 3,735 | $871K |
| D1351 | Sealant - per tooth | 13% | 13,846 | 3,694 | $379K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.5% | 2,835 | 1,761 | $223K |
| D0145 | Oral evaluation for a patient under three years of age | 6.6% | 1,386 | 1,384 | $195K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.0% | 4,939 | 4,926 | $180K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.3% | 14,886 | 5,768 | $159K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.9% | 5,075 | 5,048 | $145K |
| D1110 | Prophylaxis - adult | 4.5% | 2,455 | 2,449 | $133K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.2% | 4,687 | 4,576 | $125K |
| D0210 | Intraoral - complete series of radiographic images | 4.1% | 1,752 | 1,747 | $121K |
| D1208 | Topical application of fluoride, excluding varnish | 3.7% | 7,630 | 7,609 | $111K |
| D0274 | Bitewings - four radiographic images | 3.3% | 2,925 | 2,910 | $99K |
9 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 2,434 | $84K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 6,034 | $75K |
| D0272 | Bitewings - two radiographic images | 1.9% | 2,498 | $58K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 44 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 196 | $6K |
| D2330 | <1% | 67 | $5K | |
| D0603 | <1% | 7,709 | $0.01 | |
| D0602 | 0% | 708 | $0.00 | |
| D0601 | 0% | 296 | $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 officialSISOMBATH, JACOB (OWNER)