NPI: 1770057879 · SAN ANTONIO, TX 78221 · Dentist · NPI assigned 01/11/2019
Authorized official ZAMORA, MARIBEL controls 20+ related entities in our dataset. Read more
| Authorized Official | ZAMORA, MARIBEL (ENROLLMENT COORDINATOR) |
| NPI Enumeration Date | 01/11/2019 |
Other providers sharing the same authorized official: ZAMORA, MARIBEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| WESTERN DENTAL SERVICES, INC. | HEMET | CA | $4.38M |
| WESTERN DENTAL SERVICES, INC. | OAKLAND | CA | $3.27M |
| WESTERN DENTAL SERVICES, INC. | SAN FRANCISCO | CA | $3.14M |
| WESTERN DENTAL SERVICES, INC | DELANO | CA | $2.51M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $2.47M |
| WESTERN DENTAL SERVICE, INC | SAN BERNARDINO | CA | $2.35M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $2.34M |
| WESTERN DENTAL SERVICES, INC. | FULLERTON | CA | $2.30M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $2.03M |
| WESTERN DENTAL SERVICES, INC. | LONG BEACH | CA | $1.87M |
| BRIDENT DENTAL ASSOCIATES PC | FORT WORTH | TX | $1.78M |
| WESTERN DENTAL SERVICES, INC. | LOS ANGELES | CA | $1.68M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $1.65M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $1.64M |
| BRIDENT DENTAL ASSOCIATES PC | PLANO | TX | $1.58M |
| WESTERN DENTAL SERVICES, INC. | STOCKTON | CA | $1.55M |
| BRIDENT DENTAL ASSOCIATES PC | MCKINNEY | TX | $1.53M |
| SOUMAVA SEN, DD, P.C. | HOUSTON | TX | $1.47M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $1.40M |
| BRIDENT DENTAL ASSOCIATES PC | HOUSTON | TX | $1.36M |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 41 | $476.57 |
| 2020 | 1,938 | $18K |
| 2021 | 12,942 | $169K |
| 2022 | 11,316 | $185K |
| 2023 | 10,604 | $157K |
| 2024 | 7,559 | $108K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 5,342 | 947 | $89K |
| D0145 | Oral evaluation for a patient under three years of age | 980 | 962 | $87K |
| D0120 | Periodic oral evaluation - established patient | 4,080 | 3,883 | $84K |
| D1120 | Prophylaxis - child | 2,722 | 2,614 | $67K |
| D1110 | Prophylaxis - adult | 1,586 | 1,503 | $57K |
| D0230 | Intraoral - periapical each additional radiographic image | 9,333 | 4,139 | $51K |
| D1206 | Topical application of fluoride varnish | 4,632 | 4,444 | $44K |
| D0274 | Bitewings - four radiographic images | 1,899 | 1,773 | $37K |
| D0220 | Intraoral - periapical first radiographic image | 4,617 | 4,360 | $35K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 504 | 256 | $32K |
| D0210 | Intraoral - complete series of radiographic images | 423 | 395 | $18K |
| D0272 | Bitewings - two radiographic images | 1,261 | 1,212 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 606 | 559 | $15K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 84 | 54 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 47 | 39 | $401.31 |
| D0603 | 4,322 | 4,092 | $0.76 | |
| D0601 | 1,371 | 1,328 | $0.32 | |
| D0602 | 591 | 559 | $0.00 |