Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › SAN ANTONIO › TEXAS SMILES DENTAL CENTER OF SAN ANTONIO, PLLC

TEXAS SMILES DENTAL CENTER OF SAN ANTONIO, PLLC

NPI: 1679899538 · SAN ANTONIO, TX 78237 · General Practice Dentistry · NPI assigned 04/15/2010

$3.47M
Total Medicaid Paid
109,320
Total Claims
85,515
Beneficiaries
30
Codes Billed
2018-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTRINGER, JENELL (MANAGER, LICENSING & CREDENTIALING)
NPI Enumeration Date04/15/2010

Related Entities

Other providers sharing the same authorized official: STRINGER, JENELL

ProviderCityStateTotal Paid
SMALL SMILES OF ATLANTA, INC ATLANTA GA $1.55M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 236 $4K
2019 32 $205.80
2020 3,431 $111K
2021 27,955 $880K
2022 27,143 $935K
2023 27,094 $906K
2024 23,429 $637K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 19,690 5,044 $531K
D2930 Prefabricated stainless steel crown - primary tooth 3,103 476 $432K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3,705 1,484 $360K
D0120 Periodic oral evaluation - established patient 12,318 11,847 $338K
D0145 Oral evaluation for a patient under three years of age 2,417 2,305 $324K
D1120 Prophylaxis - child 8,126 7,805 $280K
D1110 Prophylaxis - adult 5,161 4,966 $268K
D1208 Topical application of fluoride, excluding varnish 13,133 12,649 $185K
D0210 Intraoral - complete series of radiographic images 2,715 2,621 $176K
D0274 Bitewings - four radiographic images 4,868 4,690 $160K
D0272 Bitewings - two radiographic images 5,293 5,083 $118K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,397 769 $95K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1,705 1,631 $43K
D7240 Removal of impacted tooth - completely bony 138 47 $37K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 273 147 $28K
D0150 Comprehensive oral evaluation - new or established patient 769 722 $25K
D0220 Intraoral - periapical first radiographic image 2,039 1,886 $23K
D0140 Limited oral evaluation - problem focused 1,032 966 $19K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 256 62 $19K
D0230 Intraoral - periapical each additional radiographic image 571 504 $6K
D0240 194 142 $2K
D7140 Extraction, erupted tooth or exposed root 22 12 $1K
D2920 83 77 $1K
D1330 4,304 4,198 $916.84
D0330 Panoramic radiographic image 13 13 $639.77
D0170 30 30 $461.47
D7111 36 24 $378.51
D0603 15,571 14,993 $0.04
D1999 279 263 $0.00
D1206 Topical application of fluoride varnish 79 59 $0.00