Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › BOERNE › SAN ANTONIO DENTAL CENTER

SAN ANTONIO DENTAL CENTER

NPI: 1184991184 · BOERNE, TX 78015 · 1223G0001X

$84K
Total Medicaid Paid
4,593
Total Claims
4,366
Beneficiaries
14
Codes Billed
2020-12
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 62 $665.38
2021 945 $15K
2022 1,001 $17K
2023 2,089 $45K
2024 496 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 630 608 $16K
D1110 300 289 $14K
D1208 871 854 $12K
D0274 392 368 $11K
D1120 272 269 $9K
D0150 168 167 $6K
D0210 72 72 $4K
D0145 28 28 $4K
D0220 276 267 $3K
D0230 291 212 $3K
D2392 25 12 $3K
D2391 20 12 $1K
D0603 1,206 1,168 $0.01
D0602 42 40 $0.00