Dental
Home Town Dental Alliance
Home Town Dental Alliance was paid $105K by Medicaid between Jan 2020 and May 2023, across 17 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 29% of everything it billed.
33Billing provider infoHOME TOWN DENTAL ALLIANCE
FORTH WORTH, TX 76177
FORTH WORTH, TX 76177
33aNPI1962877373assigned 12/10/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$105K
24GClaims4,359
24DCodes billed17
24AFirst – last monthJan 2020 – May 2023
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,055 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 | |
|---|---|---|---|
| 2020 | 14 | $0.00 | |
| 2021 | 616 | $9K | |
| 2022 | 1,358 | $37K | |
| 2023 | 2,371 | $58K |
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 | 29% | 346 | 104 | $31K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 340 | 330 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.3% | 371 | 360 | $10K |
| D1351 | Sealant - per tooth | 8.5% | 416 | 96 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 7.0% | 566 | 547 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.8% | 83 | 26 | $6K |
| D0274 | Bitewings - four radiographic images | 5.1% | 190 | 183 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 4.9% | 448 | 429 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 162 | 155 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.4% | 466 | 415 | $5K |
| D1110 | Prophylaxis - adult | 3.3% | 73 | 70 | $4K |
| D0272 | Bitewings - two radiographic images | 2.1% | 102 | 100 | $2K |
5 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 officialGURAM, MONJIT (BUSINESS OWNER)
| Provider | Location | Paid |
|---|---|---|
| Home Town Dental of Sherman PC | Sherman, TX | $578K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.