Dental
Great Smiles Dental & Orthodontic
Great Smiles Dental & Orthodontic was paid $501K by Medicaid between Nov 2020 and Dec 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 29% of everything it billed.
33Billing provider infoGREAT SMILES DENTAL & ORTHODONTIC
CARROLLTON, TX 75006
CARROLLTON, TX 75006
33aNPI1891904298assigned 05/22/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$501K
24GClaims19,644
24DCodes billed15
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#528 of 2,774
Median peer was paid$43K
This provider vs. median12×
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 | 578 | $11K | |
| 2021 | 4,686 | $100K | |
| 2022 | 4,620 | $104K | |
| 2023 | 6,090 | $189K | |
| 2024incomplete | 3,670 | $97K |
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% | 1,441 | 587 | $147K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 2,143 | 2,138 | $62K |
| D1110 | Prophylaxis - adult | 11% | 971 | 970 | $53K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 4,594 | 2,302 | $53K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.2% | 1,256 | 1,253 | $46K |
| D1208 | Topical application of fluoride, excluding varnish | 6.9% | 2,362 | 2,358 | $35K |
| D0274 | Bitewings - four radiographic images | 6.4% | 940 | 938 | $32K |
| D0220 | Intraoral - periapical first radiographic image | 5.8% | 2,359 | 2,346 | $29K |
| D0272 | Bitewings - two radiographic images | 3.7% | 807 | 804 | $19K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.8% | 177 | 104 | $14K |
| D0145 | Oral evaluation for a patient under three years of age | 1.6% | 56 | 56 | $8K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 49 | 49 | $3K |
3 more codes
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, DUSTY (OFFICE MANAGER)