CRYSTAL DENTAL CARE PLLC
NPI: 1306353628
· CRYSTAL CITY, TX 78839
· Dentist
$1.44M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,248 |
$37K |
| 2021 |
13,798 |
$409K |
| 2022 |
12,479 |
$330K |
| 2023 |
15,894 |
$409K |
| 2024 |
11,498 |
$253K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
2,708 |
954 |
$251K |
| D1351 |
|
7,068 |
1,269 |
$169K |
| D0120 |
|
5,091 |
4,883 |
$135K |
| D1120 |
|
3,692 |
3,559 |
$126K |
| D1110 |
|
2,377 |
2,247 |
$112K |
| D0145 |
|
824 |
807 |
$111K |
| D0274 |
|
3,014 |
2,900 |
$94K |
| D1208 |
|
5,749 |
5,516 |
$78K |
| D0220 |
|
5,425 |
5,149 |
$61K |
| D0230 |
|
5,052 |
4,812 |
$52K |
| D1352 |
|
1,908 |
412 |
$49K |
| D0272 |
|
1,978 |
1,927 |
$44K |
| D2391 |
|
638 |
222 |
$43K |
| D0210 |
|
672 |
634 |
$41K |
| D0150 |
|
1,063 |
994 |
$34K |
| D9230 |
|
666 |
561 |
$17K |
| D2930 |
|
78 |
39 |
$11K |
| D3220 |
|
69 |
36 |
$5K |
| D0140 |
|
156 |
146 |
$3K |
| D0330 |
|
16 |
15 |
$412.64 |
| D0602 |
|
655 |
628 |
$0.00 |
| D0603 |
|
6,018 |
5,805 |
$0.00 |