Physician
Smile Image PA
Smile Image PA was paid $420K by Medicaid between Nov 2020 and Dec 2024, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 22% of everything it billed.
33Billing provider infoSMILE IMAGE PA
HOUSTON, TX 77077
HOUSTON, TX 77077
33aNPI1861562670assigned 11/09/2006
33bProvider typeGeneral Practice Physician
28Total paid$420K
24GClaims21,134
24DCodes billed15
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Texas
Rank by total paid#22 of 113
Median peer was paid$22K
This provider vs. median19×
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 | 643 | $17K | |
| 2021 | 6,234 | $132K | |
| 2022 | 5,805 | $115K | |
| 2023 | 5,243 | $100K | |
| 2024incomplete | 3,209 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 3,236 | 3,196 | $90K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 3,373 | 3,328 | $48K |
| D1110 | Prophylaxis - adult | 11% | 882 | 874 | $47K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 1,303 | 1,288 | $46K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 439 | 267 | $42K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.3% | 3,720 | 2,929 | $39K |
| D0220 | Intraoral - periapical first radiographic image | 8.8% | 3,121 | 3,072 | $37K |
| D0274 | Bitewings - four radiographic images | 7.2% | 965 | 956 | $30K |
| D0145 | Oral evaluation for a patient under three years of age | 3.2% | 102 | 99 | $14K |
| D0272 | Bitewings - two radiographic images | 2.6% | 484 | 482 | $11K |
| D1351 | Sealant - per tooth | 2.5% | 405 | 100 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 64 | 37 | $4K |
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 officialNGUYEN, KIM (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Kim O Nguyen O D INC | Laguna Hills, CA | $94K |
| Willowchase Medical PLLC | Houston, TX | $4K |
| DR Kim Anh Nguyen LLC | Las Vegas, NV | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.