SWEET TOOTH FAMILY DENTISTRY PC
NPI: 1861987786
· SAN JUAN, TX 78589
· 261QD0000X
$4.16M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
101 |
$2K |
| 2020 |
5,392 |
$142K |
| 2021 |
45,509 |
$1.18M |
| 2022 |
42,783 |
$1.25M |
| 2023 |
36,997 |
$1.02M |
| 2024 |
23,570 |
$554K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D2392 |
|
9,219 |
3,532 |
$906K |
| D1351 |
|
17,428 |
4,543 |
$458K |
| D2391 |
|
4,138 |
2,187 |
$304K |
| D1120 |
|
8,527 |
8,462 |
$293K |
| D0230 |
|
33,353 |
13,581 |
$289K |
| D0120 |
|
9,867 |
9,754 |
$276K |
| D0145 |
|
1,962 |
1,945 |
$274K |
| D1110 |
|
4,645 |
4,601 |
$241K |
| D1208 |
|
13,375 |
13,267 |
$185K |
| D0274 |
|
5,789 |
5,700 |
$162K |
| D2930 |
|
1,036 |
411 |
$151K |
| D0220 |
|
14,376 |
14,147 |
$149K |
| D0150 |
|
4,120 |
4,048 |
$139K |
| D0272 |
|
3,749 |
3,723 |
$81K |
| D9248 |
|
568 |
550 |
$61K |
| D0330 |
|
2,032 |
1,989 |
$52K |
| D2393 |
|
406 |
208 |
$40K |
| D0210 |
|
592 |
567 |
$36K |
| D9230 |
|
1,140 |
1,104 |
$30K |
| D0273 |
|
563 |
555 |
$14K |
| D7240 |
|
32 |
12 |
$9K |
| D0140 |
|
321 |
311 |
$6K |
| D7111 |
|
65 |
41 |
$745.55 |
| D0270 |
|
65 |
64 |
$308.21 |
| D0603 |
|
16,984 |
16,814 |
$0.01 |