Dental
Aesthetic and Healthy Smile, PA
Aesthetic and Healthy Smile, PA was paid $2.35M by Medicaid between Nov 2018 and Dec 2024, across 26 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoAESTHETIC AND HEALTHY SMILE, PA
LAREDO, TX 78041
LAREDO, TX 78041
33aNPI1932150802assigned 05/15/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$2.35M
24GClaims87,655
24DCodes billed26
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#149 of 2,774
Median peer was paid$43K
This provider vs. median55×
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 | 42 | $488.26 | |
| 2020 | 2,640 | $64K | |
| 2021 | 28,181 | $765K | |
| 2022 | 19,694 | $533K | |
| 2023 | 21,062 | $529K | |
| 2024incomplete | 16,036 | $457K |
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 | 15% | 3,787 | 1,882 | $350K |
| D1351 | Sealant - per tooth | 13% | 11,692 | 2,791 | $313K |
| D1110 | Prophylaxis - adult | 13% | 5,715 | 5,629 | $302K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.1% | 7,687 | 7,592 | $213K |
| D0274 | Bitewings - four radiographic images | 8.3% | 5,996 | 5,917 | $195K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.2% | 14,157 | 8,159 | $145K |
| D1208 | Topical application of fluoride, excluding varnish | 5.3% | 8,672 | 8,555 | $124K |
| D0145 | Oral evaluation for a patient under three years of age | 5.0% | 860 | 850 | $117K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.9% | 1,616 | 967 | $115K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.8% | 3,192 | 3,163 | $113K |
| D7240 | Removal of impacted tooth - completely bony | 4.7% | 402 | 130 | $109K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 8,705 | 8,568 | $104K |
14 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 1,201 | $40K |
| D0272 | Bitewings - two radiographic images | 1.6% | 1,707 | $38K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 295 | $18K |
| D9243 | <1% | 439 | $16K | |
| D9239 | <1% | 185 | $10K | |
| D0330 | Panoramic radiographic image | <1% | 325 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 273 | $7K |
| D1352 | <1% | 112 | $4K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 159 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 170 | $2K |
| D9612 | <1% | 28 | $895.75 | |
| D4910 | <1% | 15 | $749.25 | |
| D0270 | <1% | 12 | $77.21 | |
| D0603 | <1% | 10,253 | $0.01 |
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 officialCAVAZOS, JOHNNY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Aah Smile, PC | Zapata, TX | $1.18M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.