Dental
Vergara, Sandra
Vergara, Sandra was paid $32K by Medicaid between Jul 2021 and Jul 2023, across 6 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 36% of everything it billed.
33Billing provider infoVERGARA, SANDRA
WICHITA FALLS, TX 76301
WICHITA FALLS, TX 76301
33aNPI1528000841assigned 06/12/2006
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$32K
24GClaims514
24DCodes billed6
24AFirst – last monthJul 2021 – Jul 2023
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Texas
Rank by total paid#78 of 102
Median peer was paid$338K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2021 | 92 | $4K | |
| 2022 | 64 | $3K | |
| 2023 | 358 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 36% | 40 | 13 | $11K |
| D0330 | Panoramic radiographic image | 30% | 154 | 153 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 154 | 153 | $5K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 10% | 84 | 37 | $3K |
| D9222 | 6.8% | 38 | 37 | $2K | |
| D0601 | 0% | 44 | 44 | $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.