LA JOYA DENTAL CENTER P.A.
NPI: 1629191739
· PENITAS, TX 78576
· 1223G0001X
$318K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$176.40 |
| 2020 |
1,206 |
$33K |
| 2021 |
10,917 |
$285K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
859 |
379 |
$77K |
| D0120 |
|
1,289 |
1,214 |
$34K |
| D1351 |
|
1,240 |
277 |
$31K |
| D1110 |
|
593 |
557 |
$30K |
| D2391 |
|
398 |
235 |
$28K |
| D1120 |
|
685 |
640 |
$23K |
| D0230 |
|
2,067 |
1,005 |
$20K |
| D0274 |
|
615 |
579 |
$20K |
| D1208 |
|
1,333 |
1,251 |
$18K |
| D0220 |
|
1,138 |
1,062 |
$13K |
| D0145 |
|
94 |
89 |
$12K |
| D0272 |
|
361 |
343 |
$8K |
| D2393 |
|
22 |
14 |
$2K |
| D9230 |
|
51 |
50 |
$1K |
| D0150 |
|
14 |
14 |
$494.48 |
| D0603 |
|
1,154 |
1,087 |
$0.00 |
| D0602 |
|
194 |
186 |
$0.00 |
| D0601 |
|
28 |
27 |
$0.00 |