NEW BRAUNFELS PEDIATRIC DENTAL ASSOC PC INC
NPI: 1669559274
· NEW BRAUNFELS, TX 78123
· Pediatric Dentist
· NPI assigned 11/01/2006
$2.24M
Total Medicaid Paid
Provider Details
| Authorized Official | OFFUTT, ROBERT (VP OWNER) |
| NPI Enumeration Date | 11/01/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,586 |
$47K |
| 2021 |
16,959 |
$597K |
| 2022 |
17,925 |
$596K |
| 2023 |
16,894 |
$582K |
| 2024 |
13,707 |
$419K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
2,321 |
752 |
$322K |
| D2392 |
|
3,174 |
1,898 |
$299K |
| D0145 |
|
1,581 |
1,540 |
$212K |
| D0120 |
|
6,540 |
6,325 |
$177K |
| D1120 |
|
4,868 |
4,707 |
$166K |
| D9248 |
|
1,725 |
1,625 |
$153K |
| D2391 |
|
1,586 |
1,069 |
$117K |
| D0272 |
|
5,351 |
5,169 |
$117K |
| D7140 |
|
2,562 |
1,059 |
$109K |
| D1351 |
|
4,259 |
1,157 |
$109K |
| D1110 |
|
2,037 |
1,982 |
$106K |
| D1208 |
|
6,979 |
6,755 |
$97K |
| D0220 |
|
5,851 |
5,643 |
$68K |
| D0230 |
|
5,665 |
5,414 |
$60K |
| D9230 |
|
2,091 |
1,935 |
$53K |
| D0330 |
|
988 |
952 |
$49K |
| D0150 |
|
446 |
419 |
$14K |
| D2393 |
|
108 |
92 |
$10K |
| D9420 |
|
56 |
53 |
$2K |
| D0140 |
|
76 |
76 |
$1K |
| D0603 |
|
3,585 |
3,522 |
$0.00 |
| D0602 |
|
5,222 |
5,144 |
$0.00 |