STANDARD DENTAL ALLIANCE, PLLC.
NPI: 1376838136
· TERRELL, TX 75160
· Dentist
· NPI assigned 06/09/2011
$1.50M
Total Medicaid Paid
Provider Details
| Authorized Official | HEFFELFINGER, MICHAEL (DENTIST) |
| NPI Enumeration Date | 06/09/2011 |
Related Entities
Other providers sharing the same authorized official: HEFFELFINGER, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
250 |
$13K |
| 2019 |
119 |
$4K |
| 2020 |
2,289 |
$54K |
| 2021 |
15,479 |
$410K |
| 2022 |
16,491 |
$484K |
| 2023 |
15,177 |
$346K |
| 2024 |
9,428 |
$192K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
2,854 |
986 |
$277K |
| D1351 |
|
6,204 |
1,552 |
$164K |
| D0120 |
|
5,592 |
5,488 |
$157K |
| D0230 |
|
12,415 |
4,927 |
$135K |
| D1120 |
|
3,746 |
3,686 |
$133K |
| D1110 |
|
1,955 |
1,932 |
$103K |
| D0274 |
|
2,807 |
2,735 |
$92K |
| D2391 |
|
1,211 |
451 |
$92K |
| D1208 |
|
6,039 |
5,937 |
$86K |
| D0145 |
|
607 |
604 |
$85K |
| D0220 |
|
5,487 |
5,361 |
$65K |
| D0210 |
|
616 |
612 |
$41K |
| D9230 |
|
1,454 |
1,364 |
$37K |
| D0272 |
|
786 |
783 |
$18K |
| D9248 |
|
55 |
53 |
$6K |
| D0150 |
|
130 |
129 |
$4K |
| D2930 |
|
29 |
13 |
$4K |
| D0330 |
|
54 |
53 |
$2K |
| D2393 |
|
27 |
12 |
$2K |
| D0140 |
|
27 |
27 |
$507.06 |
| D0603 |
|
7,110 |
6,981 |
$0.00 |
| D0602 |
|
28 |
28 |
$0.00 |