Dental
SP Administration
SP Administration was paid $0.00 by Medicaid between Feb 2023 and Nov 2024, across 6 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 0% of everything it billed.
33Billing provider infoSP ADMINISTRATION
SAN ANTONIO, TX 78249
SAN ANTONIO, TX 78249
33aNPI1720526163assigned 02/06/2017
33bProvider typeDentist
28Total paid$0.00
24GClaims418
24DCodes billed6
24AFirst – last monthFeb 2023 – Nov 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#1,593 of 1,678
Median peer was paid$35K
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 380 | $0.00 | |
| 2024incomplete | 38 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 0% | 111 | 98 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 14 | 12 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 111 | 98 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 44 | 39 | $0.00 |
| D0603 | 0% | 57 | 55 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 81 | 73 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialIZADDOUST, SHIVA (OWNER)
Parent organizationSOUTHPARK FAMILY DENTAL CARE
| Provider | Location | Paid |
|---|---|---|
| South Park Family Dental Care PA | San Antonio, TX | $1.44M |
| Hildebrand Family Dental Care P.A. | San Antonio, TX | $82K |
| Shiva Izaddoust D.D.S. P.A. | San Antonio, TX | $37K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.