SAN ANTONIO SURGICAL ARTS, P.A.
NPI: 1952380511
· SAN ANTONIO, TX 78216
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/12/2006
$7.67M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,924 |
$205K |
| 2021 |
16,900 |
$1.88M |
| 2022 |
17,526 |
$2.07M |
| 2023 |
17,636 |
$2.04M |
| 2024 |
13,263 |
$1.48M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
17,514 |
6,350 |
$4.77M |
| D7230 |
|
7,159 |
3,544 |
$1.18M |
| D0330 |
Panoramic radiographic image |
12,605 |
12,374 |
$744K |
| D9420 |
|
7,234 |
7,134 |
$250K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,011 |
1,188 |
$188K |
| D0140 |
Limited oral evaluation - problem focused |
8,985 |
8,841 |
$163K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
3,882 |
3,779 |
$129K |
| D0367 |
|
372 |
358 |
$84K |
| D9239 |
|
1,344 |
1,328 |
$71K |
| D9243 |
|
1,887 |
1,092 |
$71K |
| D7220 |
|
52 |
38 |
$7K |
| D9612 |
|
121 |
120 |
$4K |
| D9610 |
|
159 |
153 |
$3K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
63 |
37 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
32 |
13 |
$2K |
| D9222 |
|
36 |
36 |
$2K |
| D0601 |
|
3,793 |
3,760 |
$0.00 |