SAN ANTONIO FAMILY DENTAL PLLC
NPI: 1487112991
· SAN ANTONIO, TX 78245
· General Practice Dentistry
· NPI assigned 03/05/2019
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official RASTOGI, GEETIKA controls 20+ related entities in our dataset. Read more
Provider Details
Related Entities
Other providers sharing the same authorized official: RASTOGI, GEETIKA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
12 |
$150.72 |
| 2024 |
168 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
54 |
53 |
$629.44 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$459.16 |
| D1208 |
Topical application of fluoride, excluding varnish |
30 |
30 |
$441.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$441.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
43 |
40 |
$436.87 |
| D0601 |
|
13 |
12 |
$0.00 |
| D0603 |
|
15 |
15 |
$0.00 |