Dental
Dental Gallery
Dental Gallery was paid $173K by Medicaid between Dec 2020 and Nov 2024, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 15% of everything it billed.
33Billing provider infoDENTAL GALLERY
FRIENDSWOOD, TX 77546
FRIENDSWOOD, TX 77546
33aNPI1932386836assigned 01/23/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$173K
24GClaims9,346
24DCodes billed15
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#868 of 2,774
Median peer was paid$43K
This provider vs. median4.1×
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 | 91 | $3K | |
| 2021 | 1,914 | $32K | |
| 2022 | 2,308 | $38K | |
| 2023 | 3,240 | $72K | |
| 2024incomplete | 1,793 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 938 | 915 | $26K |
| D1351 | Sealant - per tooth | 13% | 968 | 135 | $23K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 1,904 | 947 | $21K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 1,258 | 1,227 | $18K |
| D1110 | Prophylaxis - adult | 9.1% | 302 | 298 | $16K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.1% | 453 | 443 | $16K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.2% | 157 | 47 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 7.6% | 1,101 | 1,075 | $13K |
| D0274 | Bitewings - four radiographic images | 6.6% | 353 | 348 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 76 | 24 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.2% | 36 | 12 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | 2.0% | 25 | 25 | $3K |
3 more codes
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 officialSAEEDI, BEHNAZ (OWNER)