TEXAS DENTAL ASSOCIATES, PA
NPI: 1912234469
· WEBSTER, TX 77598
· 1223G0001X
$1.10M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
933 |
$24K |
| 2021 |
8,737 |
$223K |
| 2022 |
12,173 |
$361K |
| 2023 |
10,388 |
$305K |
| 2024 |
7,697 |
$185K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1351 |
|
7,434 |
1,500 |
$197K |
| D0145 |
|
1,258 |
1,249 |
$173K |
| D2930 |
|
872 |
321 |
$125K |
| D1120 |
|
3,335 |
3,297 |
$117K |
| D2392 |
|
853 |
406 |
$81K |
| D0120 |
|
2,943 |
2,889 |
$81K |
| D0272 |
|
2,845 |
2,805 |
$64K |
| D1208 |
|
3,636 |
3,573 |
$51K |
| D0230 |
|
4,593 |
3,542 |
$48K |
| D0220 |
|
3,831 |
3,721 |
$43K |
| D0150 |
|
715 |
697 |
$23K |
| D9230 |
|
812 |
772 |
$20K |
| D1110 |
|
347 |
328 |
$15K |
| D2391 |
|
184 |
103 |
$14K |
| D3220 |
|
170 |
84 |
$13K |
| D9248 |
|
122 |
117 |
$13K |
| D7140 |
|
187 |
99 |
$10K |
| D0274 |
|
385 |
366 |
$9K |
| D0210 |
|
24 |
24 |
$2K |
| D1206 |
|
73 |
70 |
$940.80 |
| D0330 |
|
151 |
141 |
$857.50 |
| D0601 |
|
1,344 |
1,322 |
$0.00 |
| D0603 |
|
3,784 |
3,746 |
$0.00 |
| D0602 |
|
30 |
29 |
$0.00 |