Dental
Su Clinica Familiar
Su Clinica Familiar was paid $435.72 by Medicaid between Nov 2021 and Nov 2021, across 1 billing code. Its largest line is D9420, — 100% of everything it billed.
33Billing provider infoSU CLINICA FAMILIAR
HARLINGEN, TX 78550
HARLINGEN, TX 78550
33aNPI1528116563assigned 01/08/2007
33bProvider typeDentist
28Total paid$435.72
24GClaims12
24DCodes billed1
24AFirst – last monthNov 2021 – Nov 2021
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#1,514 of 1,678
Median peer was paid$35K
This provider vs. median0.0×
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 | 12 | $435.72 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9420 | 100% | 12 | 12 | $435.72 |
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 officialSALDIVAR, ADAM (CFO)
| Provider | Location | Paid |
|---|---|---|
| Su Clinica Familiar | Harlingen, TX | $37.58M |
| Su Clinica Familiar | Harlingen, TX | $3.10M |
| Su Clinica Familiar | Brownsville, TX | $2.28M |
| Su Clinica Familiar | Raymondville, TX | $1.56M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.