KERRVILLE PEDIATRIC DENTISTRY, PLLC
NPI: 1366848129
· KERRVILLE, TX 78028
· Pediatric Dentist
· NPI assigned 11/06/2014
$3.01M
Total Medicaid Paid
Provider Details
| Authorized Official | AYALA, JOANNA (MANAGING MEMBER) |
| NPI Enumeration Date | 11/06/2014 |
Related Entities
Other providers sharing the same authorized official: AYALA, JOANNA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
24 |
$161.70 |
| 2020 |
3,197 |
$94K |
| 2021 |
27,500 |
$805K |
| 2022 |
26,749 |
$760K |
| 2023 |
28,901 |
$814K |
| 2024 |
21,735 |
$540K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0145 |
|
4,081 |
4,040 |
$567K |
| D1120 |
|
9,489 |
9,391 |
$330K |
| D0120 |
|
9,694 |
9,611 |
$272K |
| D2930 |
|
1,915 |
617 |
$268K |
| D1351 |
|
7,868 |
1,758 |
$207K |
| D1206 |
|
12,569 |
12,443 |
$177K |
| D1110 |
|
3,038 |
3,006 |
$160K |
| D2392 |
|
1,641 |
1,097 |
$158K |
| D0272 |
|
6,527 |
6,467 |
$138K |
| D2391 |
|
1,781 |
1,176 |
$134K |
| D0274 |
|
3,757 |
3,716 |
$117K |
| D0230 |
|
12,121 |
6,008 |
$117K |
| D0150 |
|
3,015 |
2,975 |
$94K |
| D0220 |
|
7,389 |
7,190 |
$84K |
| D9230 |
|
2,448 |
2,365 |
$64K |
| D0330 |
|
1,810 |
1,800 |
$57K |
| D0210 |
|
438 |
438 |
$27K |
| D9248 |
|
137 |
135 |
$16K |
| D0140 |
|
576 |
561 |
$10K |
| D3220 |
|
110 |
52 |
$9K |
| D7140 |
|
131 |
70 |
$7K |
| D9420 |
|
14 |
13 |
$472.03 |
| D0603 |
|
17,557 |
17,302 |
$0.00 |