Dental
Alterra Dental PLLC
Alterra Dental PLLC was paid $14K by Medicaid between Dec 2020 and Nov 2024, across 8 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 20% of everything it billed.
33Billing provider infoALTERRA DENTAL PLLC
MANSFIELD, TX 76063
MANSFIELD, TX 76063
33aNPI1962890525assigned 01/06/2015
33bProvider typeDentist
28Total paid$14K
24GClaims1,354
24DCodes billed8
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#1,027 of 1,678
Median peer was paid$35K
This provider vs. median0.4×
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 | 58 | $504.64 | |
| 2021 | 1,163 | $13K | |
| 2024incomplete | 133 | $683.60 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 20% | 162 | 138 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 135 | 118 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 16% | 213 | 189 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 14% | 227 | 200 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 13% | 287 | 186 | $2K |
| D1110 | Prophylaxis - adult | 13% | 50 | 44 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.0% | 48 | 39 | $691.66 |
| D0601 | 0% | 232 | 219 | $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 officialCASTLE, MICHAEL (MANAGER)