Dental
Chacon-Smith, Lorena
Chacon-Smith, Lorena was paid $12K by Medicaid between Apr 2023 and Mar 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 16% of everything it billed.
33Billing provider infoCHACON-SMITH, LORENA
FREEPORT, TX 77541
FREEPORT, TX 77541
33aNPI1982089074assigned 07/30/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$12K
24GClaims2,510
24DCodes billed12
24AFirst – last monthApr 2023 – Mar 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,837 of 2,774
Median peer was paid$43K
This provider vs. median0.3×
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 | 2,289 | $11K | |
| 2024incomplete | 221 | $341.66 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 16% | 130 | 68 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 13% | 585 | 181 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 388 | 201 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 203 | 111 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 138 | 69 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.0% | 52 | 12 | $1K |
| D0274 | Bitewings - four radiographic images | 8.0% | 118 | 62 | $925.88 |
| D0220 | Intraoral - periapical first radiographic image | 7.5% | 325 | 170 | $877.14 |
| D0145 | Oral evaluation for a patient under three years of age | 6.7% | 25 | 12 | $781.44 |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 61 | 31 | $547.46 |
| D0272 | Bitewings - two radiographic images | 1.3% | 31 | 16 | $151.97 |
| D0603 | 0% | 454 | 242 | $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.