Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CIBOLO PEDIATRIC DENTISTRY, PLLC

NPI: 1346732807 · CIBOLO, TX 78108 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/31/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official AYALA, JOANNA controls 12+ related entities in our dataset. Read more

$721K
Total Medicaid Paid
29,965
Total Claims
26,735
Beneficiaries
16
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialAYALA, JOANNA (OWNER)
NPI Enumeration Date05/31/2018

Related Entities

Other providers sharing the same authorized official: AYALA, JOANNA

ProviderCityStateTotal Paid
LYTLE PEDIATRIC DENTISTRY, PLLC LYTLE TX $5.62M
TOTS TO TEENS PEDIATRIC DENTISTRY LAREDO TX $3.08M
KERRVILLE PEDIATRIC DENTISTRY, PLLC KERRVILLE TX $3.01M
RITTIMAN PEDIATRIC DENTISTRY, PLLC SAN ANTONIO TX $3.01M
CULEBRA PEDIATRIC DENTISTRY, PLLC SAN ANTONIO TX $2.84M
ALAMO HEIGHTS DENTISTRY FOR CHILDREN, PLLC SAN ANTONIO TX $2.31M
PLEASANTON CHILDREN'S DENTISTRY PLEASANTON TX $1.64M
CITY BASE PEDIATRIC DENTISTRY, PLLC SAN ANTONIO TX $1.48M
HELOTES PEDIATRIC DENTISTRY, PLLC SAN ANTONIO TX $1.15M
SHAENFIELD PEDIATRIC DENTISTRY, PLLC SAN ANTONIO TX $514K
MURRIETA PRIMARY CARE CLINIC JOANNA AYALA M D MURRIETA CA $265K
STONE OAK CHILDREN'S DENTISTRY, PLLC SAN ANTONIO TX $82K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 408 $11K
2021 4,452 $104K
2022 7,585 $177K
2023 9,423 $243K
2024 8,097 $185K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0145 Oral evaluation for a patient under three years of age 1,872 1,840 $249K
D1120 Prophylaxis - child 3,078 3,028 $101K
D0120 Periodic oral evaluation - established patient 2,691 2,642 $71K
D1206 Topical application of fluoride varnish 3,789 3,726 $50K
D0272 Bitewings - two radiographic images 2,109 2,075 $43K
D0230 Intraoral - periapical each additional radiographic image 4,006 2,267 $40K
D0150 Comprehensive oral evaluation - new or established patient 949 929 $30K
D0220 Intraoral - periapical first radiographic image 2,648 2,583 $30K
D1351 Sealant - per tooth 1,107 233 $28K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 264 156 $25K
D0274 Bitewings - four radiographic images 633 619 $19K
D1110 Prophylaxis - adult 280 273 $14K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 454 407 $11K
D2391 Resin-based composite - one surface, posterior, primary or permanent 128 83 $9K
D0330 Panoramic radiographic image 42 42 $1K
D0603 5,915 5,832 $0.00