Phan, Mary

Phan, Mary was paid $2K by Medicaid between Jan 2024 and Aug 2024, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 56% of everything it billed.

33Billing provider infoPHAN, MARY
PASADENA, TX 77502

33aNPI1962614628assigned 05/04/2007

33bProvider typeDentist

28Total paid$2K

24GClaims106

24DCodes billed3

24AFirst – last monthJan 2024 – Aug 2024

Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#1,346 of 1,678

Median peer was paid$35K

This provider vs. median0.1×

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
2024incomplete	106	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	56%	38	38	$1K
D1208	Topical application of fluoride, excluding varnish	30%	40	40	$573.30
D0240		13%	28	14	$254.80

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.