WEST BANDERA DENTAL, PLLC
NPI: 1053899435
· BOERNE, TX 78006
· 1223G0001X
$498K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
336 |
$6K |
| 2021 |
3,956 |
$99K |
| 2022 |
6,205 |
$165K |
| 2023 |
5,986 |
$146K |
| 2024 |
4,194 |
$83K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
|
1,083 |
1,051 |
$145K |
| D1120 |
|
1,554 |
1,477 |
$50K |
| D0120 |
|
1,935 |
1,836 |
$50K |
| D0274 |
|
1,647 |
1,588 |
$42K |
| D2392 |
|
379 |
100 |
$36K |
| D1351 |
|
1,396 |
201 |
$35K |
| D1110 |
|
637 |
616 |
$31K |
| D0220 |
|
2,513 |
2,382 |
$28K |
| D0230 |
|
2,640 |
2,229 |
$27K |
| D1206 |
|
1,355 |
1,272 |
$17K |
| D1208 |
|
955 |
941 |
$13K |
| D0272 |
|
568 |
549 |
$12K |
| D0150 |
|
382 |
371 |
$12K |
| D0330 |
|
12 |
12 |
$510.24 |
| D0603 |
|
3,621 |
3,534 |
$0.00 |