NPI: 1255698254 · SAN ANTONIO, TX 78229 · Dentist · NPI assigned 04/13/2012
Authorized official DIAZ, SILVIA controls 13+ related entities in our dataset. Read more
| Authorized Official | DIAZ, SILVIA (PPO COORDINATOR) |
| NPI Enumeration Date | 04/13/2012 |
Other providers sharing the same authorized official: DIAZ, SILVIA
| Provider | City | State | Total Paid |
|---|---|---|---|
| WESTERN DENTAL SERVICES, INC | SAN JOSE | CA | $5.23M |
| WESTERN DENTAL SERVICES, INC. | ANTIOCH | CA | $4.85M |
| WESTERN DENTAL SERVICES, INC. | SANTA CLARA | CA | $2.86M |
| WESTERN DENTAL SERVICES, INC | GILROY | CA | $1.73M |
| WESTERN DENTAL SERVICES, INC. | LIVERMORE | CA | $1.52M |
| WESTERN DENTAL SERVICES, INC. | SAN MARCOS | CA | $1.27M |
| WESTERN DENTAL SERVICES, INC | SAN MATEO | CA | $1.08M |
| WESTERN DENTAL SERVICES, INC | NAPA | CA | $1.05M |
| WESTERN DENTAL SERVICES, INC. | NATIONAL CITY | CA | $612K |
| SOUMAVA SEN, DDS, P.C. | EULESS | TX | $55K |
| SOUMAVA SEN, DDS, P.C | GARLAND | TX | $52K |
| SOUMAVA SEN, DDS, P.C. | CARROLLTON | TX | $23K |
| WESTERN DENTAL OF ARIZONA, INC. | TEMPE | AZ | $48.01 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 28 | $0.00 |
| 2019 | 44 | $209.75 |
| 2020 | 365 | $7K |
| 2021 | 2,583 | $31K |
| 2022 | 2,463 | $31K |
| 2023 | 2,171 | $24K |
| 2024 | 2,274 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 853 | 119 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 638 | 608 | $16K |
| D0120 | Periodic oral evaluation - established patient | 604 | 580 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | 2,318 | 1,036 | $11K |
| D1110 | Prophylaxis - adult | 285 | 277 | $11K |
| D1206 | Topical application of fluoride varnish | 1,025 | 996 | $10K |
| D1120 | Prophylaxis - child | 409 | 390 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 1,221 | 1,154 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 214 | 202 | $8K |
| D0145 | Oral evaluation for a patient under three years of age | 90 | 90 | $7K |
| D0272 | Bitewings - two radiographic images | 459 | 447 | $7K |
| D0274 | Bitewings - four radiographic images | 107 | 101 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 77 | 71 | $754.75 |
| D0330 | Panoramic radiographic image | 20 | 19 | $526.54 |
| D0603 | 635 | 605 | $9.79 | |
| D0602 | 636 | 615 | $0.57 | |
| D0601 | 337 | 331 | $0.36 |