ACCESS DENTAL OF RAYMONDVILLE PLLC
NPI: 1639775802
· RAYMONDVILLE, TX 78580
· 1223G0001X
$925K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
8,423 |
$251K |
| 2022 |
15,854 |
$416K |
| 2023 |
6,324 |
$119K |
| 2024 |
6,449 |
$139K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,573 |
624 |
$147K |
| D0120 |
|
3,578 |
3,451 |
$95K |
| D0145 |
|
638 |
625 |
$87K |
| D1120 |
|
2,330 |
2,255 |
$79K |
| D1351 |
|
2,980 |
690 |
$74K |
| D1110 |
|
1,481 |
1,423 |
$73K |
| D0274 |
|
2,049 |
1,956 |
$57K |
| D0230 |
|
5,598 |
2,967 |
$53K |
| D1208 |
|
3,717 |
3,589 |
$51K |
| D2393 |
|
468 |
232 |
$42K |
| D2391 |
|
510 |
302 |
$37K |
| D0220 |
|
3,159 |
3,040 |
$33K |
| D0330 |
|
896 |
814 |
$20K |
| D0272 |
|
951 |
912 |
$19K |
| D0350 |
|
1,254 |
1,204 |
$14K |
| D0210 |
|
196 |
196 |
$13K |
| D0150 |
|
372 |
347 |
$11K |
| D2930 |
|
80 |
12 |
$9K |
| D9230 |
|
275 |
257 |
$6K |
| D0140 |
|
124 |
113 |
$2K |
| D9248 |
|
20 |
18 |
$853.16 |
| D0160 |
|
47 |
45 |
$581.56 |
| D1206 |
|
35 |
34 |
$498.33 |
| D1330 |
|
49 |
47 |
$416.50 |
| D0601 |
|
2,312 |
2,287 |
$0.02 |
| D0603 |
|
2,076 |
1,984 |
$0.00 |
| D0602 |
|
282 |
277 |
$0.00 |