NORTH TEXAS BOULEVARD DENTAL, PLLC
NPI: 1609332733
· WESLACO, TX 78596
· 1223G0001X
$2.95M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,650 |
$47K |
| 2021 |
19,730 |
$644K |
| 2022 |
22,607 |
$696K |
| 2023 |
27,184 |
$916K |
| 2024 |
23,205 |
$647K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
2,958 |
527 |
$406K |
| D0145 |
|
2,652 |
2,607 |
$365K |
| D2392 |
|
3,606 |
1,468 |
$353K |
| D1351 |
|
9,455 |
2,298 |
$251K |
| D1120 |
|
6,511 |
6,347 |
$226K |
| D0120 |
|
7,394 |
7,175 |
$203K |
| D2391 |
|
1,944 |
957 |
$145K |
| D0230 |
|
12,692 |
6,960 |
$136K |
| D1110 |
|
2,605 |
2,536 |
$135K |
| D1208 |
|
9,162 |
8,921 |
$128K |
| D0274 |
|
3,349 |
3,261 |
$108K |
| D0220 |
|
7,900 |
7,622 |
$92K |
| D0330 |
|
1,889 |
1,843 |
$70K |
| D9248 |
|
597 |
560 |
$66K |
| D0150 |
|
1,906 |
1,847 |
$63K |
| D0272 |
|
4,067 |
3,950 |
$59K |
| D9230 |
|
1,989 |
1,894 |
$51K |
| D0210 |
|
574 |
571 |
$39K |
| D2393 |
|
296 |
158 |
$29K |
| D0140 |
|
595 |
567 |
$10K |
| D3220 |
|
83 |
39 |
$7K |
| D2330 |
|
82 |
54 |
$6K |
| D2332 |
|
21 |
13 |
$3K |
| D7111 |
|
25 |
12 |
$275.28 |
| D0603 |
|
12,024 |
11,814 |
$0.00 |