Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Houston Wisdom Teeth, PLLC

Houston Wisdom Teeth, PLLC was paid $338K by Medicaid between Nov 2023 and Dec 2024, across 9 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 70% of everything it billed.

33Billing provider infoHOUSTON WISDOM TEETH, PLLC
PEARLAND, TX 77584
33aNPI1992417117assigned 12/19/2022
28Total paid$338K
24GClaims3,292
24DCodes billed9
24AFirst – last monthNov 2023 – Dec 2024
Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in Texas

Rank by total paid#52 of 102
Median peer was paid$338K
This provider vs. median1.0×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
2023173$14K
2024incomplete3,119$324K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7240 Removal of impacted tooth - completely bony 70% 954 306 $238K
D0330 Panoramic radiographic image 14% 884 867 $47K
D9222 5.5% 376 360 $19K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 4.3% 409 264 $15K
D0140 Limited oral evaluation - problem focused 2.7% 524 505 $9K
D7230 2.2% 48 26 $8K
D9239 <1% 21 21 $1K
D9243 <1% 24 17 $1K
D9610 <1% 52 47 $645.12

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 officialHILTON, BENJAMIN (MANAGING MEMBER)