STONE OAK CHILDREN'S DENTISTRY, PLLC

NPI: 1699434969 · SAN ANTONIO, TX 78258 · Pediatric Dentist · NPI assigned 12/14/2021

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official AYALA, JOANNA controls 12+ related entities in our dataset. Read more

$82K

Total Medicaid Paid

4,004

Total Claims

3,507

Beneficiaries

Codes Billed

2022-12

First Month

2024-12

Last Month

Provider Details

Authorized Official	AYALA, JOANNA (OWNER)
NPI Enumeration Date	12/14/2021

Other providers sharing the same authorized official: AYALA, JOANNA

Provider	City	State	Total Paid
LYTLE PEDIATRIC DENTISTRY, PLLC	LYTLE	TX	$5.62M
TOTS TO TEENS PEDIATRIC DENTISTRY	LAREDO	TX	$3.08M
KERRVILLE PEDIATRIC DENTISTRY, PLLC	KERRVILLE	TX	$3.01M
RITTIMAN PEDIATRIC DENTISTRY, PLLC	SAN ANTONIO	TX	$3.01M
CULEBRA PEDIATRIC DENTISTRY, PLLC	SAN ANTONIO	TX	$2.84M
ALAMO HEIGHTS DENTISTRY FOR CHILDREN, PLLC	SAN ANTONIO	TX	$2.31M
PLEASANTON CHILDREN'S DENTISTRY	PLEASANTON	TX	$1.64M
CITY BASE PEDIATRIC DENTISTRY, PLLC	SAN ANTONIO	TX	$1.48M
HELOTES PEDIATRIC DENTISTRY, PLLC	SAN ANTONIO	TX	$1.15M
CIBOLO PEDIATRIC DENTISTRY, PLLC	CIBOLO	TX	$721K
SHAENFIELD PEDIATRIC DENTISTRY, PLLC	SAN ANTONIO	TX	$514K
MURRIETA PRIMARY CARE CLINIC JOANNA AYALA M D	MURRIETA	CA	$265K

Code	Description	Claims	Beneficiaries	Total Paid
D0145	Oral evaluation for a patient under three years of age	247	230	$32K
D1120	Prophylaxis - child	409	388	$13K
D0150	Comprehensive oral evaluation - new or established patient	272	262	$8K
D0230	Intraoral - periapical each additional radiographic image	761	408	$7K
D1206	Topical application of fluoride varnish	504	488	$7K
D0220	Intraoral - periapical first radiographic image	466	442	$5K
D0272	Bitewings - two radiographic images	215	201	$4K
D0120	Periodic oral evaluation - established patient	153	144	$4K
D1110	Prophylaxis - adult	24	24	$1K
D0274	Bitewings - four radiographic images	38	38	$1K
D0603		915	882	$0.00