EL CENTRO DEL BARRIO, INC.
NPI: 1811042567
· SAN ANTONIO, TX 78211
· General Practice Dentistry
· NPI assigned 01/24/2007
$202K
Total Medicaid Paid
Provider Details
| Authorized Official | WALZEL, CHUCK (CFO) |
| NPI Enumeration Date | 01/24/2007 |
Related Entities
Other providers sharing the same authorized official: WALZEL, CHUCK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
127 |
$8K |
| 2021 |
1,224 |
$49K |
| 2022 |
2,508 |
$103K |
| 2023 |
354 |
$30K |
| 2024 |
111 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0999 |
Unspecified diagnostic procedure, by report |
1,918 |
1,456 |
$202K |
| D0220 |
Intraoral - periapical first radiographic image |
369 |
345 |
$14.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
65 |
65 |
$0.00 |
| D1120 |
Prophylaxis - child |
67 |
63 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
17 |
17 |
$0.00 |
| D1110 |
Prophylaxis - adult |
14 |
13 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
329 |
304 |
$0.00 |
| D0601 |
|
239 |
239 |
$0.00 |
| D0603 |
|
153 |
148 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
187 |
184 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
17 |
12 |
$0.00 |
| D1310 |
|
62 |
60 |
$0.00 |
| D1330 |
|
227 |
221 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
660 |
329 |
$0.00 |