NPI: 1760868079 · SAN ANTONIO, TX 78227 · General Practice Dentistry · NPI assigned 08/10/2015
| Authorized Official | BERTA, HUGO (MANAGING MEMBER) |
| NPI Enumeration Date | 08/10/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 415 | $13K |
| 2019 | 697 | $10K |
| 2020 | 5,931 | $173K |
| 2021 | 48,006 | $1.43M |
| 2022 | 51,899 | $1.65M |
| 2023 | 55,837 | $1.95M |
| 2024 | 47,448 | $1.65M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 17,767 | 8,823 | $1.76M | |
| D2391 | 10,741 | 6,038 | $838K | |
| D0145 | 4,163 | 4,142 | $585K | |
| D0120 | 20,116 | 19,990 | $572K | |
| D1120 | 15,456 | 15,355 | $556K | |
| D0230 | 36,572 | 16,076 | $411K | |
| D9230 | 13,267 | 13,016 | $350K | |
| D1208 | 21,385 | 21,240 | $308K | |
| D0210 | 4,603 | 4,578 | $303K | |
| D1110 | 5,359 | 5,323 | $289K | |
| D0220 | 17,056 | 16,892 | $209K | |
| D2393 | 1,936 | 1,117 | $198K | |
| D0272 | 6,129 | 6,087 | $141K | |
| D0274 | 3,774 | 3,747 | $128K | |
| D1351 | 3,863 | 2,055 | $104K | |
| D2930 | 510 | 287 | $72K | |
| D0150 | 804 | 798 | $28K | |
| D0140 | 531 | 522 | $10K | |
| D7140 | 134 | 81 | $6K | |
| D2332 | 36 | 29 | $5K | |
| D2330 | 57 | 41 | $4K | |
| D0350 | 370 | 363 | $4K | |
| D3220 | 23 | 16 | $2K | |
| D0603 | 24,660 | 24,501 | $0.00 | |
| D0602 | 845 | 843 | $0.00 | |
| D0601 | 76 | 76 | $0.00 |