VETERANS BOULEVARD FAMILY DENTISTRY, PLLC
NPI: 1891382586
· SAN JUAN, TX 75238
· 1223G0001X
$1.10M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
3,518 |
$111K |
| 2022 |
12,648 |
$387K |
| 2023 |
12,148 |
$319K |
| 2024 |
10,397 |
$286K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
|
1,422 |
1,332 |
$181K |
| D2392 |
|
1,513 |
674 |
$143K |
| D1351 |
|
5,148 |
1,123 |
$130K |
| D1120 |
|
2,934 |
2,812 |
$100K |
| D0120 |
|
2,585 |
2,489 |
$70K |
| D2391 |
|
928 |
504 |
$68K |
| D1208 |
|
3,749 |
3,583 |
$51K |
| D1110 |
|
984 |
918 |
$49K |
| D2930 |
|
330 |
86 |
$46K |
| D0150 |
|
1,431 |
1,318 |
$45K |
| D0230 |
|
3,574 |
2,599 |
$37K |
| D0220 |
|
3,133 |
2,955 |
$36K |
| D0330 |
|
917 |
828 |
$33K |
| D0272 |
|
2,155 |
2,041 |
$32K |
| D0274 |
|
1,014 |
970 |
$31K |
| D9230 |
|
1,011 |
943 |
$25K |
| D9248 |
|
127 |
121 |
$14K |
| D0210 |
|
152 |
151 |
$10K |
| D0140 |
|
56 |
54 |
$939.00 |
| D1206 |
|
60 |
52 |
$762.93 |
| D0603 |
|
5,197 |
5,049 |
$0.06 |
| D9986 |
|
158 |
142 |
$0.00 |
| D0602 |
|
133 |
130 |
$0.00 |