TEXAS SMILES DENTAL CENTER OF SAN ANTONIO, PLLC
NPI: 1679899538
· SAN ANTONIO, TX 78237
· 1223G0001X
$3.47M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
|
19,690 |
5,044 |
$531K |
| D2930 |
|
3,103 |
476 |
$432K |
| D2392 |
|
3,705 |
1,484 |
$360K |
| D0120 |
|
12,318 |
11,847 |
$338K |
| D0145 |
|
2,417 |
2,305 |
$324K |
| D1120 |
|
8,126 |
7,805 |
$280K |
| D1110 |
|
5,161 |
4,966 |
$268K |
| D1208 |
|
13,133 |
12,649 |
$185K |
| D0210 |
|
2,715 |
2,621 |
$176K |
| D0274 |
|
4,868 |
4,690 |
$160K |
| D0272 |
|
5,293 |
5,083 |
$118K |
| D2391 |
|
1,397 |
769 |
$95K |
| D9230 |
|
1,705 |
1,631 |
$43K |
| D7240 |
|
138 |
47 |
$37K |
| D2393 |
|
273 |
147 |
$28K |
| D0150 |
|
769 |
722 |
$25K |
| D0220 |
|
2,039 |
1,886 |
$23K |
| D0140 |
|
1,032 |
966 |
$19K |
| D3220 |
|
256 |
62 |
$19K |
| D0230 |
|
571 |
504 |
$6K |
| D0240 |
|
194 |
142 |
$2K |
| D7140 |
|
22 |
12 |
$1K |
| D2920 |
|
83 |
77 |
$1K |
| D1330 |
|
4,304 |
4,198 |
$916.84 |
| D0330 |
|
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 |
|
79 |
59 |
$0.00 |