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

De Zavala Precision Smile Structure

De Zavala Precision Smile Structure was paid $24K by Medicaid between Nov 2023 and Jun 2024, across 5 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 76% of everything it billed.

33Billing provider infoDE ZAVALA PRECISION SMILE STRUCTURE
SAN ANTONIO, TX 78249
33aNPI1043989692assigned 09/08/2021
28Total paid$24K
24GClaims293
24DCodes billed5
24AFirst – last monthNov 2023 – Jun 2024
Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#1,600 of 2,774
Median peer was paid$43K
This provider vs. median0.6×

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

$0$10K$20K$30K2018201920202021202220232024
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
2023266$24K
2024incomplete27$138.69
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 76% 161 16 $18K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 22% 75 15 $5K
D0220 Intraoral - periapical first radiographic image 1.4% 29 27 $327.09
D0272 Bitewings - two radiographic images 1.3% 14 13 $303.94
D0603 0% 14 13 $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 officialSMITH, ADAM (OWNER)
Same official

Other billing entities under SMITH, ADAM

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.