SAN DARIO DENTISTRY, PLLC
NPI: 1245861145
· LAREDO, TX 78041
· 1223G0001X
$1.92M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,030 |
$36K |
| 2021 |
15,815 |
$619K |
| 2022 |
15,810 |
$515K |
| 2023 |
11,976 |
$263K |
| 2024 |
15,468 |
$484K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
4,317 |
1,443 |
$412K |
| D2391 |
|
3,373 |
874 |
$255K |
| D0145 |
|
1,780 |
1,754 |
$246K |
| D1351 |
|
6,569 |
1,552 |
$171K |
| D1120 |
|
3,492 |
3,425 |
$122K |
| D0120 |
|
3,987 |
3,881 |
$110K |
| D0230 |
|
7,997 |
4,594 |
$79K |
| D1110 |
|
1,522 |
1,475 |
$78K |
| D0274 |
|
3,060 |
2,972 |
$73K |
| D1208 |
|
5,191 |
5,067 |
$72K |
| D2930 |
|
429 |
137 |
$62K |
| D0220 |
|
5,046 |
4,885 |
$53K |
| D0150 |
|
1,458 |
1,416 |
$47K |
| D9248 |
|
301 |
273 |
$33K |
| D0330 |
|
1,139 |
1,095 |
$32K |
| D0272 |
|
1,482 |
1,448 |
$28K |
| D0210 |
|
393 |
345 |
$21K |
| D9230 |
|
568 |
550 |
$15K |
| D3220 |
|
45 |
12 |
$4K |
| D0140 |
|
117 |
112 |
$2K |
| D1206 |
|
42 |
42 |
$598.29 |
| D7111 |
|
53 |
33 |
$561.14 |
| D9986 |
|
28 |
25 |
$0.00 |
| D0603 |
|
7,710 |
7,572 |
$0.00 |