Dental
Valudental San Pedro LLC
Valudental San Pedro LLC was paid $33K by Medicaid between Dec 2020 and Oct 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.
33Billing provider infoVALUDENTAL SAN PEDRO LLC
SAN ANTONIO, TX 78216
SAN ANTONIO, TX 78216
33aNPI1952864720assigned 04/09/2019
33bProvider typeDentist
28Total paid$33K
24GClaims2,947
24DCodes billed11
24AFirst – last monthDec 2020 – Oct 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#849 of 1,678
Median peer was paid$35K
This provider vs. median1.0×
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 | 81 | $1K | |
| 2021 | 463 | $6K | |
| 2022 | 417 | $4K | |
| 2023 | 1,653 | $20K | |
| 2024incomplete | 333 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 27% | 248 | 205 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 19% | 600 | 531 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 233 | 207 | $5K |
| D0274 | Bitewings - four radiographic images | 12% | 167 | 134 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.6% | 116 | 95 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 7.5% | 262 | 227 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 4.7% | 41 | 31 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.2% | 163 | 123 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.2% | 14 | 12 | $404.25 |
| D0603 | 0% | 1,073 | 943 | $0.00 | |
| D0602 | 0% | 30 | 30 | $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 officialFERGUSON, DAVID (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Athome Medical INC | Morris Plains, NJ | $18.03M |
| Athome Medical INC. | South Hackensack, NJ | $5.45M |
| Shave Dental PLLC | San Antonio, TX | $917K |
| Valudental PLLC | San Antonio, TX | $787K |
| Valudental 2 PLLC | San Antonio, TX | $99K |
| Alternate Group Care, INC | Southwest Ranches, FL | $56K |
| Valudental Gladstone Ferguson DDS | Kansas City, MO | $6K |
| Celebraces San Pedro LLC | San Antonio, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.