Dental
Shavano Park Family Dentistry, PA
Shavano Park Family Dentistry, PA was paid $9K by Medicaid between Dec 2020 and Feb 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 42% of everything it billed.
33Billing provider infoSHAVANO PARK FAMILY DENTISTRY, PA
SAN ANTONIO, TX 78249
SAN ANTONIO, TX 78249
33aNPI1942359286assigned 01/09/2007
33bProvider typeDentist
28Total paid$9K
24GClaims795
24DCodes billed6
24AFirst – last monthDec 2020 – Feb 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#1,094 of 1,678
Median peer was paid$35K
This provider vs. median0.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 60 | $671.14 | |
| 2021 | 138 | $1K | |
| 2022 | 324 | $4K | |
| 2023 | 247 | $3K | |
| 2024incomplete | 26 | $522.60 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 42% | 149 | 140 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 29% | 202 | 191 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 31 | 31 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 10% | 78 | 75 | $926.92 |
| D0230 | Intraoral - periapical each additional radiographic image | 7.5% | 65 | 63 | $689.45 |
| D0603 | 0% | 270 | 260 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialTRAN, HUYEN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Fair Oaks Dental, PA | Fair Oaks Ranch, TX | $640.75 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.