Dental
Fairy & Tooth PLLC
Fairy & Tooth PLLC was paid $40K by Medicaid between May 2023 and Dec 2024, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoFAIRY & TOOTH PLLC
RICHMOND, TX 77406
RICHMOND, TX 77406
33aNPI1962162115assigned 12/28/2021
33bProvider typePediatric Dentist
28Total paid$40K
24GClaims2,196
24DCodes billed11
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#491 of 693
Median peer was paid$252K
This provider vs. median0.2×
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 | 236 | $2K | |
| 2024incomplete | 1,960 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 214 | 211 | $7K |
| D1351 | Sealant - per tooth | 18% | 262 | 59 | $7K |
| D0272 | Bitewings - two radiographic images | 11% | 219 | 216 | $5K |
| D0145 | Oral evaluation for a patient under three years of age | 9.9% | 28 | 28 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.2% | 139 | 134 | $4K |
| D1206 | Topical application of fluoride varnish | 8.3% | 238 | 233 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.8% | 32 | 12 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 6.3% | 282 | 274 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 65 | 64 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.4% | 262 | 250 | $2K |
| D0603 | 0% | 455 | 448 | $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 officialSERVETNIK, DZHULIYA (OWNER)