Dental
Main Dentistry, P.A.
Main Dentistry, P.A. was paid $12K by Medicaid between Jan 2021 and Jun 2023, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 26% of everything it billed.
33Billing provider infoMAIN DENTISTRY, P.A.
LEWISVILLE, TX 75056
LEWISVILLE, TX 75056
33aNPI1912030230assigned 03/14/2007
33bProvider typeDentist
28Total paid$12K
24GClaims615
24DCodes billed13
24AFirst – last monthJan 2021 – Jun 2023
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#1,047 of 1,678
Median peer was paid$35K
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 | |
|---|---|---|---|
| 2021 | 127 | $2K | |
| 2022 | 360 | $9K | |
| 2023 | 128 | $1K |
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 | 26% | 33 | 12 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 123 | 113 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 124 | 59 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.2% | 47 | 44 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.3% | 31 | 28 | $992.25 |
| D0210 | Intraoral - complete series of radiographic images | 8.3% | 14 | 14 | $988.96 |
| D1110 | Prophylaxis - adult | 6.4% | 14 | 14 | $768.32 |
| D0220 | Intraoral - periapical first radiographic image | 6.3% | 65 | 61 | $753.60 |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 15 | 15 | $529.80 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.3% | 19 | 19 | $515.09 |
| D0272 | Bitewings - two radiographic images | 2.5% | 14 | 13 | $303.94 |
| D0603 | 0% | 57 | 46 | $0.00 |
1 more codes
| D0602 | 0% | 59 | $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 officialBASAWARAJ, SUJATA (PRESIDENT)