SAN DARIO DENTAL AND ORTHODONTICS PLLC
NPI: 1215407143
· LAREDO, TX 78045
· 122300000X
$1.45M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
46 |
$514.90 |
| 2020 |
1,284 |
$33K |
| 2021 |
11,203 |
$294K |
| 2022 |
12,275 |
$317K |
| 2023 |
17,270 |
$454K |
| 2024 |
14,141 |
$352K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
|
2,048 |
2,033 |
$278K |
| D2392 |
|
1,631 |
763 |
$152K |
| D1351 |
|
5,334 |
1,238 |
$132K |
| D0120 |
|
4,514 |
4,448 |
$124K |
| D1120 |
|
3,620 |
3,564 |
$123K |
| D0230 |
|
9,131 |
5,342 |
$88K |
| D1110 |
|
1,739 |
1,715 |
$88K |
| D1208 |
|
5,695 |
5,606 |
$78K |
| D2391 |
|
878 |
496 |
$63K |
| D0220 |
|
5,772 |
5,651 |
$61K |
| D0274 |
|
1,994 |
1,958 |
$60K |
| D2930 |
|
312 |
72 |
$44K |
| D0272 |
|
1,839 |
1,817 |
$37K |
| D0150 |
|
1,166 |
1,142 |
$37K |
| D9248 |
|
166 |
164 |
$18K |
| D2393 |
|
185 |
97 |
$17K |
| D0210 |
|
223 |
222 |
$14K |
| D9230 |
|
445 |
422 |
$11K |
| D0330 |
|
377 |
366 |
$8K |
| D0160 |
|
526 |
508 |
$7K |
| D3220 |
|
58 |
15 |
$5K |
| D0140 |
|
109 |
107 |
$2K |
| D1330 |
|
127 |
125 |
$1K |
| D0603 |
|
8,330 |
8,234 |
$0.28 |