SOUTH TEXAS DENTAL ASSOCIATES, L.P.
NPI: 1538385422
· DALLAS, TX 75211
· Dentist
· NPI assigned 04/18/2007
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official GOMEL, BARRY controls 13+ related entities in our dataset. Read more
$948.82
Total Medicaid Paid
Provider Details
| Authorized Official | GOMEL, BARRY (OFFICER/PARTNER) |
| NPI Enumeration Date | 04/18/2007 |
Related Entities
Other providers sharing the same authorized official: GOMEL, BARRY
| Provider | City | State | Total Paid |
|---|
| SOUTH TEXAS DENTAL ASSOCIATES, L.P. |
FT WORTH |
TX |
$3K |
| SOUTH TEXAS DENTAL ASSOCIATES, LP |
HOUSTON |
TX |
$1K |
| SOUTH TEXAS DENTAL ASSOCIATES, L.P. |
FT WORTH |
TX |
$826.66 |
| SOUTH TEXAS DENTAL ASSOCIATES, L.P. |
HOUSTON |
TX |
$797.27 |
| SOUTH TEXAS DENTAL ASSOCIATES, L.P. |
HOUSTON |
TX |
$647.64 |
| SOUTH TEXAS DENTAL ASSOCIATES, LP |
ARLINGTON |
TX |
$476.75 |
| SOUTH TEXAS DENTAL ASSOCIATES, LP |
FT WORTH |
TX |
$360.36 |
| SOUTH TEXAS DENTAL ASSOCIATES, L.P. |
DALLAS |
TX |
$297.53 |
| SOUTH TEXAS DENTAL ASSOCIATES, LP |
FT WORTH |
TX |
$191.10 |
| SOUTH TEXAS DENTAL ASSOCIATES, L.P. |
FORT WORTH |
TX |
$176.40 |
| SOUTH TEXAS DENTAL ASSOCIATES, L.P. |
HOUSTON |
TX |
$176.40 |
| SOUTH TEXAS DENTAL ASSOCIATES, L.P. |
DALLAS |
TX |
$0.00 |
| SOUTH TEXAS DENTAL ASSOCIATES, LP |
MCKINNEY |
TX |
$0.00 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
74 |
$948.82 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$403.90 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$220.50 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$163.28 |
| D0230 |
Intraoral - periapical each additional radiographic image |
15 |
14 |
$161.14 |
| D0603 |
|
15 |
15 |
$0.00 |