EL CENTRO DEL BARRIO, INC.
NPI: 1730388018
· SAN ANTONIO, TX 78224
· Federally Qualified Health Center (FQHC)
· NPI assigned 07/16/2007
$269K
Total Medicaid Paid
Provider Details
| Authorized Official | WALZEL, CHUCK (CFO) |
| NPI Enumeration Date | 07/16/2007 |
Related Entities
Other providers sharing the same authorized official: WALZEL, CHUCK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
187 |
$4K |
| 2021 |
3,085 |
$106K |
| 2022 |
2,418 |
$83K |
| 2023 |
270 |
$23K |
| 2024 |
1,037 |
$53K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0999 |
Unspecified diagnostic procedure, by report |
2,016 |
1,617 |
$269K |
| D0220 |
Intraoral - periapical first radiographic image |
748 |
702 |
$39.30 |
| D0274 |
Bitewings - four radiographic images |
175 |
166 |
$36.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,408 |
681 |
$33.00 |
| D0120 |
Periodic oral evaluation - established patient |
591 |
558 |
$26.00 |
| D0272 |
Bitewings - two radiographic images |
209 |
204 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
311 |
310 |
$0.00 |
| D1330 |
|
313 |
312 |
$0.00 |
| D1310 |
|
292 |
287 |
$0.00 |
| D0602 |
|
502 |
498 |
$0.00 |
| D0603 |
|
178 |
176 |
$0.00 |
| D1351 |
Sealant - per tooth |
72 |
14 |
$0.00 |
| D1120 |
Prophylaxis - child |
100 |
99 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
42 |
42 |
$0.00 |
| D1110 |
Prophylaxis - adult |
28 |
28 |
$0.00 |