Clinic
Hildebrand Family Dental Care P.A.
Hildebrand Family Dental Care P.A. was paid $82K by Medicaid between Nov 2020 and Aug 2023, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 23% of everything it billed.
33Billing provider infoHILDEBRAND FAMILY DENTAL CARE P.A.
SAN ANTONIO, TX 78201
SAN ANTONIO, TX 78201
33aNPI1326172651assigned 03/16/2007
33bProvider typeDental Clinic/Center
28Total paid$82K
24GClaims5,023
24DCodes billed10
24AFirst – last monthNov 2020 – Aug 2023
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#137 of 255
Median peer was paid$110K
This provider vs. median0.7×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 277 | $4K | |
| 2021 | 2,939 | $54K | |
| 2022 | 1,537 | $22K | |
| 2023 | 270 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 728 | 711 | $19K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 370 | 364 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 784 | 763 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 756 | 728 | $9K |
| D1110 | Prophylaxis - adult | 9.6% | 156 | 148 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.5% | 745 | 717 | $8K |
| D0272 | Bitewings - two radiographic images | 8.1% | 306 | 298 | $7K |
| D0274 | Bitewings - four radiographic images | 6.0% | 155 | 148 | $5K |
| D0145 | Oral evaluation for a patient under three years of age | 5.0% | 29 | 29 | $4K |
| D0603 | 0% | 994 | 973 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialIZADDOUST, SHIVA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| South Park Family Dental Care PA | San Antonio, TX | $1.44M |
| Shiva Izaddoust D.D.S. P.A. | San Antonio, TX | $37K |
| SP Administration | San Antonio, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.