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

Access Dental of Fredericksburg PA

Access Dental of Fredericksburg PA was paid $356K by Medicaid between Nov 2020 and Dec 2024, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.

33Billing provider infoACCESS DENTAL OF FREDERICKSBURG PA
SAN ANTONIO, TX 78201
33aNPI1093262172assigned 09/06/2016
33bProvider typeDentist
28Total paid$356K
24GClaims13,599
24DCodes billed18
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#398 of 1,678
Median peer was paid$35K
This provider vs. median10×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official PHAN, TIEN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
20201,054$26K
20214,297$105K
20223,660$106K
20233,549$103K
2024incomplete1,039$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 19% 733 247 $68K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 16% 2,060 2,023 $56K
D2391 Resin-based composite - one surface, posterior, primary or permanent 14% 672 208 $48K
D1120 Dental cleaning, childProphylaxis - child 12% 1,237 1,218 $41K
D1110 Prophylaxis - adult 8.6% 616 606 $31K
D1208 Topical application of fluoride, excluding varnish 7.9% 2,037 2,006 $28K
D0274 Bitewings - four radiographic images 7.0% 869 852 $25K
D1351 Sealant - per tooth 5.9% 890 144 $21K
D0272 Bitewings - two radiographic images 3.6% 571 562 $13K
D0145 Oral evaluation for a patient under three years of age 3.0% 80 79 $11K
D0220 Intraoral - periapical first radiographic image 1.1% 348 338 $4K
D0230 Intraoral - periapical each additional radiographic image <1% 358 327 $4K
6 more codes
D0330 Panoramic radiographic image <1% 156 $3K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 94 $2K
D0150 Comprehensive oral evaluation - new or established patient <1% 46 $1K
D0350 <1% 76 $1K
D0603 <1% 2,742 $0.03
D0602 0% 14 $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 officialPHAN, TIEN (CEO)
Same official

Other billing entities under PHAN, TIEN

Full network →
ProviderLocationPaid
Access Dental of RundbergAustin, TX$3.69M
Access Dental of Ed Bluestein PAAustin, TX$2.50M
Access Dental of William Cannon PAAustin, TX$1.69M
LA Costa Dental of Kostoryz PACorpus Christi, TX$1.62M
LA Costa Dental of Leopard PACorpus Christi, TX$1.32M
Access Dental of Zarzamora PASan Antonio, TX$1.17M
LA Costa Dental of Ayers PACorpus Christi, TX$1.11M
Access Dental of 7TH StreetAustin, TX$1.06M
LA Costa of Beaumont PABeaumont, TX$650K
Access Dental of White, P.A.San Antonio, TX$564K
Access Dental of MeadowbrookFort Worth, TX$549K
LA Costa of Port Arthur PAPort Arthur, TX$526K
Access Dental of Pleasanton, P.A.San Antonio, TX$377K
Access Dental of Trawood PLLCEl Paso, TX$349K
Access Dental of Valley Mills PAWaco, TX$291K
Access Dental of SaginawSaginaw, TX$281K
Access Dental of Park Lake PAWaco, TX$209K
Access Dental of Haltom CityHaltom City, TX$140K
Access Dental of El Paso PLLCEl Paso, TX$122K
Access Dental of Lake JuneDallas, TX$115K

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