ALAMO CITY DENTAL
NPI: 1689845604
· SAN ANTONIO, TX 78251
· General Practice Dentistry
· NPI assigned 03/18/2008
Provider Details
| Authorized Official | REYES, JOSE (DENTIST) |
| NPI Enumeration Date | 03/18/2008 |
Related Entities
Other providers sharing the same authorized official: REYES, JOSE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
59 |
$845.42 |
| 2021 |
1,166 |
$26K |
| 2022 |
543 |
$13K |
| 2023 |
44 |
$862.51 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
221 |
216 |
$11K |
| D0274 |
Bitewings - four radiographic images |
411 |
402 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
409 |
404 |
$11K |
| D1208 |
Topical application of fluoride, excluding varnish |
464 |
458 |
$6K |
| D1120 |
Prophylaxis - child |
41 |
41 |
$1K |
| D0330 |
Panoramic radiographic image |
44 |
43 |
$822.06 |
| D0602 |
|
120 |
118 |
$0.00 |
| D0603 |
|
102 |
102 |
$0.00 |