Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CONVERSE CHILDRENS DENTAL ASSOCIATION PLLC

NPI: 1831944214 · SAN ANTONIO, TX 78244 · Pediatric Dentist · NPI assigned 04/19/2024

$10K
Total Medicaid Paid
468
Total Claims
432
Beneficiaries
10
Codes Billed
2024-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSALINAS, AARON (OWNER)
NPI Enumeration Date04/19/2024

Related Entities

Other providers sharing the same authorized official: SALINAS, AARON

ProviderCityStateTotal Paid
DEL MAR DENTAL PLLC LAREDO TX $5.95M
CULEBRA CHILDREN'S DENTAL ASSOCIATION PLLC SAN ANTONIO TX $3.19M
PURPLE IRIS DENTAL ASSOCIATION SAN ANTONIO TX $1.67M
RESTORATION DENTAL PLLC SAN ANTONIO TX $1.34M
POTRANCO CHILDREN'S DENTAL ASSOCIATION SAN ANTONIO TX $708K
TIMBERWOOD CHILDRENS DENTAL ASSOCIATION PLLC SAN ANTONIO TX $155K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 468 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 64 64 $2K
D0145 Oral evaluation for a patient under three years of age 18 18 $2K
D1120 Prophylaxis - child 47 47 $2K
D0210 Intraoral - complete series of radiographic images 17 17 $1K
D1208 Topical application of fluoride, excluding varnish 63 63 $882.00
D0330 Panoramic radiographic image 19 19 $683.60
D0230 Intraoral - periapical each additional radiographic image 72 41 $540.97
D0272 Bitewings - two radiographic images 25 25 $297.50
D0220 Intraoral - periapical first radiographic image 49 45 $269.74
D0603 94 93 $0.00