Dental
Moola, Sireesha
Moola, Sireesha was paid $105K by Medicaid between Jun 2023 and Dec 2024, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoMOOLA, SIREESHA
CEDAR PARK, TX 78613
CEDAR PARK, TX 78613
33aNPI1942576319assigned 03/29/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$105K
24GClaims7,316
24DCodes billed18
24AFirst – last monthJun 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,056 of 2,774
Median peer was paid$43K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2023 | 4,639 | $64K | |
| 2024incomplete | 2,677 | $40K |
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 | 19% | 365 | 236 | $20K |
| D1351 | Sealant - per tooth | 13% | 980 | 248 | $14K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.1% | 476 | 475 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.6% | 201 | 134 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.6% | 522 | 522 | $8K |
| D1110 | Prophylaxis - adult | 7.0% | 260 | 260 | $7K |
| D0274 | Bitewings - four radiographic images | 5.8% | 351 | 351 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 5.1% | 819 | 812 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.7% | 831 | 762 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 215 | 215 | $4K |
| D0272 | Bitewings - two radiographic images | 3.8% | 335 | 335 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.3% | 269 | 242 | $3K |
6 more codes
| D1208 | Topical application of fluoride, excluding varnish | 2.9% | 401 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | 2.6% | 38 | $3K |
| D1206 | Topical application of fluoride varnish | 2.3% | 311 | $2K |
| D0330 | Panoramic radiographic image | 1.3% | 201 | $1K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 13 | $847.68 |
| D0603 | 0% | 728 | $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.