RICARDO SALINAS CLINIC
NPI: 1922047323
· SAN ANTONIO, TX 78228
· Pediatric Dentist
· NPI assigned 06/05/2006
Deactivated NPI
· This NPI was deactivated on 10/09/2017. Reactivated 10/24/2017.
$134K
Total Medicaid Paid
Provider Details
| Authorized Official | MARKS, ANDREA (VP & CHIEF OPERATING OFFICER) |
| Parent Organization | UTHSCSA DENTAL SCHOOL |
| NPI Enumeration Date | 06/05/2006 |
Related Entities
Other providers sharing the same authorized official: MARKS, ANDREA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
165 |
$3K |
| 2021 |
2,289 |
$40K |
| 2022 |
2,215 |
$40K |
| 2023 |
1,405 |
$27K |
| 2024 |
1,382 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,843 |
1,825 |
$51K |
| D1120 |
Prophylaxis - child |
1,077 |
1,068 |
$37K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,774 |
1,756 |
$25K |
| D0272 |
Bitewings - two radiographic images |
337 |
333 |
$7K |
| D1110 |
Prophylaxis - adult |
97 |
97 |
$5K |
| D0274 |
Bitewings - four radiographic images |
55 |
55 |
$2K |
| D0145 |
Oral evaluation for a patient under three years of age |
13 |
12 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
134 |
134 |
$2K |
| D0330 |
Panoramic radiographic image |
26 |
26 |
$1K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
76 |
71 |
$1K |
| D1351 |
Sealant - per tooth |
48 |
15 |
$847.20 |
| D0230 |
Intraoral - periapical each additional radiographic image |
27 |
16 |
$310.77 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$176.40 |
| D0602 |
|
107 |
105 |
$0.00 |
| D0603 |
|
1,830 |
1,817 |
$0.00 |