HILDEBRAND FAMILY DENTAL CARE P.A.
NPI: 1326172651
· SAN ANTONIO, TX 78201
· Dental Clinic/Center
· NPI assigned 03/16/2007
Provider Details
Related Entities
Other providers sharing the same authorized official: IZADDOUST, SHIVA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
277 |
$4K |
| 2021 |
2,939 |
$54K |
| 2022 |
1,537 |
$22K |
| 2023 |
270 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
728 |
711 |
$19K |
| D1120 |
Prophylaxis - child |
370 |
364 |
$13K |
| D1208 |
Topical application of fluoride, excluding varnish |
784 |
763 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
756 |
728 |
$9K |
| D1110 |
Prophylaxis - adult |
156 |
148 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
745 |
717 |
$8K |
| D0272 |
Bitewings - two radiographic images |
306 |
298 |
$7K |
| D0274 |
Bitewings - four radiographic images |
155 |
148 |
$5K |
| D0145 |
Oral evaluation for a patient under three years of age |
29 |
29 |
$4K |
| D0603 |
|
994 |
973 |
$0.00 |