Clinic
Ut Dentistry San Antonio
Ut Dentistry San Antonio was paid $175K by Medicaid between Dec 2020 and Nov 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoUT DENTISTRY SAN ANTONIO
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
33aNPI1013300599assigned 03/09/2015
33bProvider typeDental Clinic/Center
28Total paid$175K
24GClaims11,046
24DCodes billed22
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#113 of 255
Median peer was paid$110K
This provider vs. median1.6×
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 | 53 | $615.65 | |
| 2021 | 2,077 | $32K | |
| 2022 | 3,603 | $49K | |
| 2023 | 1,690 | $24K | |
| 2024incomplete | 3,623 | $70K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 846 | 836 | $27K |
| D8670 | Periodic orthodontic treatment visit | 14% | 442 | 412 | $25K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 947 | 938 | $24K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 1,510 | 1,490 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 8.7% | 1,418 | 1,379 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.2% | 1,129 | 842 | $11K |
| D0160 | 5.4% | 671 | 659 | $9K | |
| D0460 | 5.0% | 826 | 771 | $9K | |
| D2950 | 4.1% | 175 | 162 | $7K | |
| D9248 | 3.1% | 65 | 57 | $5K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.0% | 46 | 12 | $5K |
| D0272 | Bitewings - two radiographic images | 2.9% | 280 | 274 | $5K |
10 more codes
| D1110 | Prophylaxis - adult | 2.2% | 77 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 100 | $3K |
| D0140 | Limited oral evaluation - problem focused | 1.0% | 113 | $2K |
| D0270 | <1% | 349 | $2K | |
| D0274 | Bitewings - four radiographic images | <1% | 69 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 127 | $1K |
| D9310 | <1% | 12 | $87.48 | |
| D0603 | 0% | 1,815 | $0.00 | |
| D0602 | 0% | 12 | $0.00 | |
| D0364 | 0% | 17 | $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 officialMARKS, ANDREA (VP & CHIEF OPERATING OFFICER)
| Provider | Location | Paid |
|---|---|---|
| University of Texas Health Science Center at San Antonio | San Antonio, TX | $35.44M |
| Ricardo Salinas Clinic | San Antonio, TX | $134K |
| University of Texas Health Science Center at San Antonio | San Antonio, TX | $13K |
| University of Texas Health Science Center at San Antonio | Boerne, TX | $128.52 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.