Dental
Coastal Health & Wellness
Coastal Health & Wellness was paid $1.18M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 85% of everything it billed.
33Billing provider infoCOASTAL HEALTH & WELLNESS
TEXAS CITY, TX 77591
TEXAS CITY, TX 77591
33aNPI1578588406assigned 07/13/2006
33bProvider typeDentist
28Total paid$1.18M
24GClaims14,454
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#172 of 1,678
Median peer was paid$35K
This provider vs. median34×
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 | |
|---|---|---|---|
| 2018 | 42 | $6K | |
| 2019 | 64 | $10K | |
| 2020 | 785 | $91K | |
| 2021 | 2,283 | $194K | |
| 2022 | 2,751 | $215K | |
| 2023 | 5,305 | $340K | |
| 2024incomplete | 3,224 | $328K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 85% | 7,945 | 6,763 | $1.01M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.8% | 3,344 | 2,983 | $104K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5.1% | 1,513 | 1,354 | $61K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 194 | 186 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 54 | 47 | $982.61 |
| 0012A | <1% | 33 | 33 | $442.00 | |
| 0011A | <1% | 39 | 39 | $409.64 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | 12 | $349.68 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 13 | 12 | $189.25 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 160 | 154 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 166 | 163 | $0.00 |
| 90686 | 0% | 138 | 128 | $0.00 |
14 more codes
| 80053 | Comprehensive metabolic panel | 0% | 179 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 282 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 97 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 19 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 12 | $0.00 |
| 86592 | 0% | 16 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 14 | $0.00 |
| 91301 | 0% | 12 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 12 | $0.00 |
| 90656 | 0% | 36 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 26 | $0.00 |
| 80061 | Lipid panel | 0% | 111 | $0.00 |
| 80074 | 0% | 13 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 14 | $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 officialSALCIDO, DONNA (CREDENTIALING COORDINATOR)