CULEBRA CHILDREN'S DENTAL ASSOCIATION PLLC
NPI: 1871945766
· SAN ANTONIO, TX 78253
· 1223P0221X
$3.19M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
83 |
$1K |
| 2019 |
12 |
$0.00 |
| 2020 |
3,561 |
$69K |
| 2021 |
30,317 |
$655K |
| 2022 |
36,002 |
$816K |
| 2023 |
36,503 |
$867K |
| 2024 |
31,305 |
$780K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
|
4,955 |
4,855 |
$672K |
| D1120 |
|
12,358 |
12,064 |
$424K |
| D0120 |
|
12,260 |
12,014 |
$337K |
| D0230 |
|
25,411 |
14,429 |
$252K |
| D1208 |
|
15,197 |
14,840 |
$211K |
| D2392 |
|
2,311 |
1,299 |
$207K |
| D1351 |
|
7,044 |
1,364 |
$183K |
| D0220 |
|
15,721 |
15,258 |
$170K |
| D0274 |
|
4,432 |
4,325 |
$141K |
| D1110 |
|
2,602 |
2,547 |
$133K |
| D0272 |
|
6,516 |
6,380 |
$133K |
| D0150 |
|
2,868 |
2,752 |
$93K |
| D2930 |
|
458 |
124 |
$65K |
| D0210 |
|
796 |
779 |
$51K |
| D9230 |
|
1,999 |
1,884 |
$50K |
| D2391 |
|
440 |
300 |
$32K |
| D0330 |
|
520 |
498 |
$13K |
| D9248 |
|
102 |
99 |
$12K |
| D3220 |
|
53 |
24 |
$4K |
| D0140 |
|
199 |
196 |
$4K |
| D7140 |
|
21 |
13 |
$1K |
| D0603 |
|
21,520 |
21,086 |
$0.00 |