MYDENTAL AT ROUND ROCK PLLC
NPI: 1184181257
· ROUND ROCK, TX 78664
· 1223G0001X
$640K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
635 |
$10K |
| 2021 |
4,870 |
$119K |
| 2022 |
8,035 |
$218K |
| 2023 |
7,983 |
$208K |
| 2024 |
4,223 |
$85K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1351 |
|
4,609 |
565 |
$117K |
| D0145 |
|
605 |
600 |
$79K |
| D1110 |
|
1,166 |
1,151 |
$58K |
| D2393 |
|
535 |
189 |
$50K |
| D2392 |
|
509 |
250 |
$49K |
| D0120 |
|
1,508 |
1,485 |
$41K |
| D1120 |
|
1,218 |
1,196 |
$40K |
| D1208 |
|
2,490 |
2,451 |
$33K |
| D0150 |
|
1,014 |
972 |
$32K |
| D0230 |
|
3,530 |
1,998 |
$28K |
| D0274 |
|
925 |
909 |
$26K |
| D0210 |
|
492 |
486 |
$23K |
| D0220 |
|
2,265 |
2,183 |
$22K |
| D2391 |
|
239 |
148 |
$18K |
| D0272 |
|
709 |
697 |
$13K |
| D0330 |
|
771 |
745 |
$12K |
| D0603 |
|
2,395 |
2,345 |
$126.00 |
| D0601 |
|
618 |
601 |
$0.00 |
| D0602 |
|
121 |
119 |
$0.00 |
| D3120 |
|
27 |
12 |
$0.00 |