WESTOVER HILLS PEDIATRIC DENTISTRY
NPI: 1699929414
· SAN ANTONIO, TX 78251
· 1223P0221X
$3.82M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
53 |
$1K |
| 2019 |
24 |
$787.20 |
| 2020 |
3,310 |
$113K |
| 2021 |
29,055 |
$954K |
| 2022 |
27,078 |
$911K |
| 2023 |
29,212 |
$922K |
| 2024 |
32,306 |
$914K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
5,269 |
1,150 |
$724K |
| D0145 |
|
4,654 |
4,625 |
$645K |
| D1120 |
|
12,111 |
12,009 |
$436K |
| D0120 |
|
14,846 |
14,717 |
$421K |
| D1351 |
|
15,009 |
2,299 |
$412K |
| D1208 |
|
12,540 |
12,446 |
$181K |
| D0210 |
|
2,620 |
2,603 |
$179K |
| D1110 |
|
3,289 |
3,270 |
$177K |
| D0272 |
|
7,047 |
6,965 |
$160K |
| D0274 |
|
2,380 |
2,371 |
$80K |
| D3220 |
|
930 |
476 |
$72K |
| D0220 |
|
6,841 |
6,737 |
$72K |
| D0230 |
|
5,567 |
5,216 |
$52K |
| D1206 |
|
3,500 |
3,469 |
$50K |
| D9248 |
|
325 |
323 |
$38K |
| D0150 |
|
1,028 |
1,011 |
$35K |
| D9420 |
|
831 |
815 |
$28K |
| D7140 |
|
246 |
139 |
$14K |
| D0330 |
|
295 |
287 |
$13K |
| D0140 |
|
696 |
691 |
$13K |
| D2391 |
|
133 |
99 |
$10K |
| D9230 |
|
166 |
161 |
$4K |
| D0603 |
|
12,035 |
11,973 |
$0.00 |
| D0602 |
|
8,680 |
8,626 |
$0.00 |