VALUDENTAL SAN PEDRO LLC
NPI: 1952864720
· SAN ANTONIO, TX 78216
· Dentist
· NPI assigned 04/09/2019
Provider Details
| Authorized Official | FERGUSON, DAVID (MANAGER) |
| NPI Enumeration Date | 04/09/2019 |
Related Entities
Other providers sharing the same authorized official: FERGUSON, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
81 |
$1K |
| 2021 |
463 |
$6K |
| 2022 |
417 |
$4K |
| 2023 |
1,653 |
$20K |
| 2024 |
333 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
248 |
205 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
600 |
531 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
233 |
207 |
$5K |
| D0274 |
Bitewings - four radiographic images |
167 |
134 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
116 |
95 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
262 |
227 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
41 |
31 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
163 |
123 |
$1K |
| D1120 |
Prophylaxis - child |
14 |
12 |
$404.25 |
| D0603 |
|
1,073 |
943 |
$0.00 |
| D0602 |
|
30 |
30 |
$0.00 |