Dental
Sparkle123pllc
Sparkle123pllc was paid $15K by Medicaid between Oct 2022 and Dec 2024, across 8 billing codes. Its largest line is D1351, Sealant - per tooth — 24% of everything it billed.
33Billing provider infoSPARKLE123PLLC
ROSENBERG, TX 77471
ROSENBERG, TX 77471
33aNPI1871238998assigned 05/03/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$15K
24GClaims1,101
24DCodes billed8
24AFirst – last monthOct 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,751 of 2,774
Median peer was paid$43K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2022 | 240 | $3K | |
| 2023 | 377 | $6K | |
| 2024incomplete | 484 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 24% | 130 | 17 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 92 | 88 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 16% | 231 | 136 | $2K |
| D1206 | Topical application of fluoride varnish | 16% | 168 | 162 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 62 | 55 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 10% | 137 | 130 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.2% | 13 | 12 | $317.35 |
| D0602 | 0% | 268 | 261 | $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 officialDUSANE, TANVI (OWNER DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Smile123pllc | Angleton, TX | $312K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.