Clinic
NPI deactivated
City of Laredo Health Department Dental Clinic
City of Laredo Health Department Dental Clinic was paid $627K by Medicaid between Nov 2020 and Dec 2024, across 22 billing codes. Its largest line is D0120, dental checkup, returning patient — 15% of everything it billed.
33Billing provider infoCITY OF LAREDO HEALTH DEPARTMENT DENTAL CLINIC
LAREDO, TX 78044
LAREDO, TX 78044
33aNPI1518145648assigned 01/31/2008
33bProvider typeDental Clinic/Center
28Total paid$627K
24GClaims25,970
24DCodes billed22
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#61 of 255
Median peer was paid$110K
This provider vs. median5.7×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 546 | $10K | |
| 2021 | 6,092 | $130K | |
| 2022 | 9,082 | $250K | |
| 2023 | 4,755 | $111K | |
| 2024incomplete | 5,495 | $126K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 3,349 | 3,282 | $92K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 2,184 | 2,142 | $74K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 10% | 453 | 154 | $63K |
| D1110 | Prophylaxis - adult | 9.1% | 1,090 | 1,069 | $57K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.4% | 503 | 314 | $46K |
| D0272 | Bitewings - two radiographic images | 6.5% | 1,926 | 1,879 | $41K |
| D1208 | Topical application of fluoride, excluding varnish | 5.1% | 2,307 | 2,253 | $32K |
| D9248 | 4.9% | 302 | 296 | $31K | |
| D1351 | Sealant - per tooth | 4.7% | 1,146 | 407 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 892 | 876 | $29K |
| D0274 | Bitewings - four radiographic images | 4.6% | 926 | 905 | $29K |
| D0220 | Intraoral - periapical first radiographic image | 4.1% | 2,238 | 2,161 | $25K |
10 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.6% | 1,465 | $23K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 192 | $14K |
| D1206 | Topical application of fluoride varnish | 1.9% | 863 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | 1.5% | 157 | $9K |
| D0145 | Oral evaluation for a patient under three years of age | 1.2% | 56 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 635 | $6K |
| D0330 | Panoramic radiographic image | <1% | 166 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 151 | $3K |
| D0603 | 0% | 4,957 | $0.00 | |
| D0602 | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGOMEZ-LEON, GINNY (SENIOR EXECUTIVE VP & CHIEF OPERATI)
Parent organizationUTHSCSA DENTAL SCHOOL