SMILE WORKSHOP SAN ANTONIO, PLLC
NPI: 1376819052
· SAN ANTONIO, TX 78245
· Dentist
$431K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$0.00 |
| 2020 |
608 |
$13K |
| 2021 |
5,804 |
$146K |
| 2022 |
5,923 |
$120K |
| 2023 |
6,517 |
$115K |
| 2024 |
2,822 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
|
2,445 |
495 |
$63K |
| D0120 |
|
1,873 |
1,857 |
$52K |
| D2392 |
|
532 |
219 |
$51K |
| D0230 |
|
4,286 |
2,002 |
$44K |
| D1110 |
|
770 |
761 |
$40K |
| D0274 |
|
1,084 |
1,070 |
$35K |
| D1120 |
|
983 |
969 |
$34K |
| D0145 |
|
214 |
214 |
$30K |
| D1208 |
|
1,927 |
1,906 |
$27K |
| D0220 |
|
2,163 |
2,125 |
$25K |
| D0350 |
|
1,861 |
1,147 |
$11K |
| D9230 |
|
336 |
314 |
$9K |
| D2391 |
|
69 |
41 |
$5K |
| D0272 |
|
144 |
144 |
$3K |
| D0150 |
|
38 |
38 |
$1K |
| D0330 |
|
41 |
39 |
$282.31 |
| D0603 |
|
2,843 |
2,813 |
$0.00 |
| D0801 |
|
77 |
76 |
$0.00 |