SAI FAMILY DENTAL , PLLC
NPI: 1548731243
· FORT WORTH, TX 76112
· 261QD0000X
$480K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
480 |
$10K |
| 2021 |
6,705 |
$130K |
| 2022 |
8,273 |
$156K |
| 2023 |
5,931 |
$108K |
| 2024 |
4,359 |
$77K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
|
2,620 |
624 |
$66K |
| D0120 |
|
2,394 |
2,287 |
$64K |
| D1110 |
|
1,227 |
1,162 |
$60K |
| D1120 |
|
1,511 |
1,424 |
$51K |
| D1208 |
|
3,015 |
2,862 |
$41K |
| D0230 |
|
4,294 |
2,944 |
$40K |
| D0274 |
|
1,424 |
1,313 |
$40K |
| D0220 |
|
3,251 |
3,019 |
$33K |
| D2392 |
|
252 |
108 |
$24K |
| D0272 |
|
1,103 |
1,039 |
$22K |
| D0145 |
|
144 |
136 |
$19K |
| D0150 |
|
350 |
304 |
$10K |
| D0330 |
|
791 |
710 |
$8K |
| D0210 |
|
45 |
45 |
$3K |
| D0603 |
|
3,061 |
2,878 |
$99.00 |
| D0601 |
|
266 |
249 |
$0.00 |