Dental
Port Lavaca Dentistry PLLC
Port Lavaca Dentistry PLLC was paid $16K by Medicaid between Jun 2021 and Aug 2024, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 37% of everything it billed.
33Billing provider infoPORT LAVACA DENTISTRY PLLC
PORT LAVACA, TX 77979
PORT LAVACA, TX 77979
33aNPI1881005296assigned 05/20/2014
33bProvider typeDentist
28Total paid$16K
24GClaims990
24DCodes billed8
24AFirst – last monthJun 2021 – Aug 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#1,002 of 1,678
Median peer was paid$35K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2021 | 112 | $2K | |
| 2022 | 456 | $8K | |
| 2023 | 315 | $5K | |
| 2024incomplete | 107 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 37% | 231 | 224 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 138 | 136 | $5K |
| D1206 | Topical application of fluoride varnish | 24% | 295 | 285 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 6.6% | 106 | 103 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 53 | 49 | $494.93 |
| D1208 | Topical application of fluoride, excluding varnish | 1.1% | 12 | 12 | $176.40 |
| D0603 | 0% | 73 | 71 | $0.00 | |
| D0601 | 0% | 82 | 82 | $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 officialLOPEZ, PAOLA (PAYER ENROLLMENT TEAM LEAD)
| Provider | Location | Paid |
|---|---|---|
| Johnson Dental Group PLLC | Abilene, TX | $275K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.