Dental
Legacy Dental of Glen Oaks
Legacy Dental of Glen Oaks was paid $1.64M by Medicaid between Nov 2018 and Dec 2024, across 20 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 30% of everything it billed.
33Billing provider infoLEGACY DENTAL OF GLEN OAKS
DALLAS, TX 75232
DALLAS, TX 75232
33aNPI1962881748assigned 05/26/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$1.64M
24GClaims56,709
24DCodes billed20
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#211 of 2,774
Median peer was paid$43K
This provider vs. median38×
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 | |
|---|---|---|---|
| 2018 | 95 | $1K | |
| 2019 | 29 | $191.10 | |
| 2020 | 2,490 | $67K | |
| 2021 | 18,216 | $541K | |
| 2022 | 16,016 | $435K | |
| 2023 | 12,928 | $435K | |
| 2024incomplete | 6,935 | $160K |
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 | 30% | 5,160 | 1,908 | $496K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.3% | 5,397 | 5,316 | $152K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.0% | 1,953 | 691 | $148K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.0% | 3,659 | 3,602 | $130K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.9% | 11,649 | 4,944 | $129K |
| D0145 | Oral evaluation for a patient under three years of age | 5.6% | 661 | 656 | $92K |
| D1110 | Prophylaxis - adult | 5.4% | 1,685 | 1,661 | $89K |
| D1351 | Sealant - per tooth | 5.2% | 3,203 | 989 | $86K |
| D0274 | Bitewings - four radiographic images | 4.9% | 2,483 | 2,440 | $81K |
| D1208 | Topical application of fluoride, excluding varnish | 4.9% | 5,648 | 5,562 | $81K |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 5,488 | 5,374 | $65K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.3% | 1,449 | 1,351 | $37K |
8 more codes
| D0272 | Bitewings - two radiographic images | 1.6% | 1,189 | $27K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 228 | $15K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 44 | $5K |
| D2332 | <1% | 23 | $3K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 14 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 45 | $1K |
| D0330 | Panoramic radiographic image | <1% | 44 | $1K |
| D0603 | 0% | 6,687 | $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 officialHEFFELFINGER, MICHAEL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Standard Dental Alliance, PLLC. | Terrell, TX | $1.50M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.