Dental
Smile Square PLLC
Smile Square PLLC was paid $275K by Medicaid between Mar 2018 and Aug 2021, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoSMILE SQUARE PLLC
LAKE JACKSON, TX 77566
LAKE JACKSON, TX 77566
33aNPI1922407352assigned 08/21/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$275K
24GClaims11,283
24DCodes billed19
24AFirst – last monthMar 2018 – Aug 2021
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#712 of 2,774
Median peer was paid$43K
This provider vs. median6.5×
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 | |
|---|---|---|---|
| 2018 | 24 | $176.40 | |
| 2020 | 2,427 | $65K | |
| 2021 | 8,832 | $211K |
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 | 20% | 605 | 273 | $56K |
| D1351 | Sealant - per tooth | 18% | 1,986 | 364 | $50K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.1% | 770 | 733 | $25K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.6% | 785 | 747 | $21K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.8% | 1,789 | 843 | $19K |
| D0145 | Oral evaluation for a patient under three years of age | 6.6% | 142 | 135 | $18K |
| D1206 | Topical application of fluoride varnish | 4.7% | 954 | 910 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 4.5% | 1,180 | 1,128 | $12K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.3% | 471 | 432 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.6% | 135 | 74 | $10K |
| D0274 | Bitewings - four radiographic images | 3.5% | 304 | 293 | $10K |
| D0272 | Bitewings - two radiographic images | 3.4% | 436 | 419 | $9K |
7 more codes
| D1110 | Prophylaxis - adult | 3.0% | 169 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 203 | $6K |
| D0330 | Panoramic radiographic image | 1.1% | 91 | $3K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.0% | 22 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 12 | $176.40 |
| D0601 | 0% | 125 | $0.00 | |
| D0603 | 0% | 1,104 | $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 officialPATEL, TEJASH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Dental Square PLLC | Lumberton, TX | $81K |
| Dental World PLLC | Alice, TX | $277.26 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.