Transport
Victory Smiles PLLC
Victory Smiles PLLC was paid $426K by Medicaid between Nov 2020 and Dec 2024, across 20 billing codes. Its largest line is D0120, dental checkup, returning patient — 17% of everything it billed.
33Billing provider infoVICTORY SMILES PLLC
HOUSTON, TX 77088
HOUSTON, TX 77088
33aNPI1912349093assigned 07/18/2013
33bProvider typeSecured Medical Transport (VAN)
28Total paid$426K
24GClaims21,789
24DCodes billed20
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Secured Medical Transport (VAN) providers in Texas
Rank by total paid#30 of 55
Median peer was paid$494K
This provider vs. median0.9×
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 | 810 | $20K | |
| 2021 | 4,969 | $104K | |
| 2022 | 5,318 | $109K | |
| 2023 | 6,127 | $115K | |
| 2024incomplete | 4,565 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 2,746 | 2,639 | $74K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 1,768 | 1,699 | $60K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 525 | 228 | $49K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 3,155 | 3,024 | $43K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.6% | 495 | 190 | $37K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.1% | 3,887 | 2,906 | $34K |
| D0220 | Intraoral - periapical first radiographic image | 7.1% | 3,203 | 3,056 | $30K |
| D0272 | Bitewings - two radiographic images | 5.9% | 1,260 | 1,206 | $25K |
| D1110 | Prophylaxis - adult | 4.9% | 413 | 399 | $21K |
| D0145 | Oral evaluation for a patient under three years of age | 3.9% | 134 | 127 | $17K |
| D1351 | Sealant - per tooth | 3.4% | 593 | 129 | $14K |
| D0274 | Bitewings - four radiographic images | 2.8% | 403 | 380 | $12K |
8 more codes
| D0330 | Panoramic radiographic image | <1% | 195 | $4K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 25 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 66 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | $777.04 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 12 | $325.32 |
| D0603 | 0% | 1,778 | $0.00 | |
| D0602 | 0% | 903 | $0.00 | |
| D0601 | 0% | 216 | $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 officialBAK, JENNIFER (REGIONAL MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Adventure Smiles PLLC | The Woodlands, TX | $832K |
| Vs-Beechnut, PLLC | Houston, TX | $278K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.