Dental
Smile Zone of Fair Park,p.C.
Smile Zone of Fair Park,p.C. was paid $795K by Medicaid between Oct 2020 and Dec 2024, across 20 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 33% of everything it billed.
33Billing provider infoSMILE ZONE OF FAIR PARK,P.C.
DALLAS, TX 75215
DALLAS, TX 75215
33aNPI1861623076assigned 08/05/2009
33bProvider typeDentist
28Total paid$795K
24GClaims32,052
24DCodes billed20
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#252 of 1,678
Median peer was paid$35K
This provider vs. median23×
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 | 682 | $16K | |
| 2021 | 8,153 | $226K | |
| 2022 | 7,794 | $194K | |
| 2023 | 8,512 | $211K | |
| 2024incomplete | 6,911 | $149K |
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 | 33% | 2,746 | 990 | $262K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10.0% | 2,951 | 2,873 | $79K |
| D1351 | Sealant - per tooth | 9.2% | 2,852 | 522 | $73K |
| D1110 | Prophylaxis - adult | 7.2% | 1,095 | 1,079 | $58K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.9% | 6,189 | 3,254 | $47K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.6% | 1,281 | 1,261 | $45K |
| D0274 | Bitewings - four radiographic images | 5.2% | 1,611 | 1,573 | $41K |
| D0220 | Intraoral - periapical first radiographic image | 4.7% | 3,664 | 3,487 | $37K |
| D0330 | Panoramic radiographic image | 4.1% | 1,506 | 1,437 | $33K |
| D1208 | Topical application of fluoride, excluding varnish | 3.8% | 2,165 | 2,136 | $30K |
| D0145 | Oral evaluation for a patient under three years of age | 2.8% | 171 | 169 | $22K |
| D0272 | Bitewings - two radiographic images | 2.7% | 1,004 | 987 | $21K |
8 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 619 | $21K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 176 | $12K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 47 | $6K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 88 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 25 | $555.89 |
| D0270 | <1% | 13 | $76.30 | |
| D0603 | 0% | 3,811 | $0.00 | |
| D0601 | 0% | 38 | $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 officialSIGMAN, MELISSA (DIRECTOR OF OPERATIONS)
| Provider | Location | Paid |
|---|---|---|
| Bryan Place Dental P.C. | Dallas, TX | $893K |
| Ensenada Dental PLLC | Arlington, TX | $268K |
| Knox Village Dentistry and Orthodontics PLLC | Dallas, TX | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.