SARATOGA BOULEVARD FAMILY DENTAL, PLLC
NPI: 1740765510
· CORPUS CHRISTI, TX 78414
· 1223G0001X
$6.78M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
7,234 |
$208K |
| 2021 |
52,994 |
$1.58M |
| 2022 |
58,265 |
$1.68M |
| 2023 |
58,497 |
$1.80M |
| 2024 |
50,617 |
$1.51M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
|
8,214 |
8,106 |
$1.13M |
| D1351 |
|
37,215 |
7,011 |
$942K |
| D2392 |
|
9,610 |
3,453 |
$901K |
| D2930 |
|
4,657 |
1,002 |
$633K |
| D1120 |
|
15,505 |
15,219 |
$533K |
| D0120 |
|
16,913 |
16,569 |
$459K |
| D0230 |
|
33,619 |
16,979 |
$354K |
| D1208 |
|
19,868 |
19,489 |
$275K |
| D1110 |
|
4,899 |
4,800 |
$251K |
| D0220 |
|
18,554 |
18,039 |
$215K |
| D0274 |
|
6,606 |
6,462 |
$211K |
| D9248 |
|
1,360 |
1,302 |
$150K |
| D0272 |
|
8,425 |
8,274 |
$144K |
| D0150 |
|
3,564 |
3,491 |
$117K |
| D0330 |
|
2,675 |
2,624 |
$91K |
| D9230 |
|
3,131 |
3,004 |
$81K |
| D2332 |
|
509 |
177 |
$61K |
| D3220 |
|
785 |
299 |
$61K |
| D2331 |
|
565 |
226 |
$54K |
| D0210 |
|
649 |
649 |
$44K |
| D2393 |
|
267 |
169 |
$26K |
| D2391 |
|
289 |
177 |
$21K |
| D0140 |
|
904 |
878 |
$15K |
| D2335 |
|
29 |
12 |
$4K |
| D7140 |
|
15 |
12 |
$960.90 |
| D1206 |
|
55 |
54 |
$761.46 |
| D0603 |
|
28,725 |
28,255 |
$0.00 |