Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Pasadena › NPI 1912563958
Dental

Cisneros Dentistry PLLC

Cisneros Dentistry PLLC was paid $36K by Medicaid between Mar 2021 and Sep 2024, across 14 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 39% of everything it billed.

33Billing provider infoCISNEROS DENTISTRY PLLC
PASADENA, TX 77502
33aNPI1912563958assigned 05/15/2019
28Total paid$36K
24GClaims1,625
24DCodes billed14
24AFirst – last monthMar 2021 – Sep 2024
Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#1,472 of 2,774
Median peer was paid$43K
This provider vs. median0.8×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2021272$6K
2022352$6K
2023466$10K
2024incomplete535$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0145 Oral evaluation for a patient under three years of age 39% 114 113 $14K
D1351 Sealant - per tooth 11% 155 14 $4K
D1208 Topical application of fluoride, excluding varnish 10% 263 258 $4K
D1120 Dental cleaning, childProphylaxis - child 9.9% 99 98 $4K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 8.8% 112 110 $3K
D0220 Intraoral - periapical first radiographic image 8.2% 264 254 $3K
D0230 Intraoral - periapical each additional radiographic image 6.7% 240 222 $2K
D0272 Bitewings - two radiographic images 2.9% 45 45 $1K
D1110 Prophylaxis - adult 1.6% 13 12 $560.16
D0274 Bitewings - four radiographic images 1.2% 16 14 $415.32
D0150 Comprehensive oral evaluation - new or established patient 1.2% 12 12 $415.20
D0601 0% 254 249 $0.00
2 more codes
D0603 0% 26 $0.00
D0602 0% 12 $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 officialMARMOL, CARMEN (OFFICE MANAGER)
Same official

Other billing entities under MARMOL, CARMEN

Full network →
ProviderLocationPaid
Family Dentistry of Houston PCHouston, TX$16K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.