Villarreal, Crystal

Villarreal, Crystal was paid $3K by Medicaid between Sep 2023 and Sep 2023, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.

33Billing provider infoVILLARREAL, CRYSTAL
SAN BENITO, TX 78586

33aNPI1760895742assigned 06/06/2014

33bProvider typeDentist

28Total paid$3K

24GClaims100

24DCodes billed6

24AFirst – last monthSep 2023 – Sep 2023

Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#1,296 of 1,678

Median peer was paid$35K

This provider vs. median0.1×

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	100	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	26%	12	12	$658.56
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	22	22	$634.70
D1120	Dental cleaning, childProphylaxis - child	20%	14	14	$514.50
D0274	Bitewings - four radiographic images	15%	14	14	$380.71
D1208	Topical application of fluoride, excluding varnish	14%	24	24	$352.80
D0603		0%	14	14	$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.