AVENTURA DENTAL

NPI: 1972068401 · SAN ANTONIO, TX 78217 · Pediatric Dentist · NPI assigned 02/08/2019

$3.27M

Total Medicaid Paid

92,605

Total Claims

71,688

Beneficiaries

Codes Billed

2020-02

First Month

2024-12

Last Month

Provider Details

Authorized Official	ABTAHI, NINA (MANAGER)
NPI Enumeration Date	02/08/2019

Other providers sharing the same authorized official: ABTAHI, NINA

Provider	City	State	Total Paid
VMD RSVJR PLLC	HOUSTON	TX	$6.39M
LUNA COMMERCE PLLC	SAN ANTONIO	TX	$5.94M
YARBROUGH RSVZ PLLC	EL PASO	TX	$5.05M
WOODLAWN RSVH PLLC	SAN ANTONIO	TX	$4.36M
RESEARCH RSVS PLLC	AUSTIN	TX	$3.31M
NURSERY RSVA PLLC	IRVING	TX	$3.12M
FOREST RSVJR PLLC	HOUSTON	TX	$2.71M
NFRY KATY PLLC	KATY	TX	$2.56M
FRONTAGE RSVS PLLC	AUSTIN	TX	$2.53M
ZARAGOZA RSVZ PLLC	EL PASO	TX	$2.43M
ALAMEDA RSVKH PLLC	CORPUS CHRISTI	TX	$2.33M
LAKE JUNE SRGM PLLC	DALLAS	TX	$2.26M
WESTMORLAND SRGP PLLC	DALLAS	TX	$2.03M
EASTCHASE MIGHTY PLLC	FORT WORTH	TX	$1.42M
RSVM JACKSON PLLC	SAN MARCOS	TX	$1.14M
SANTA MARIA RSVJR PLLC	HOUSTON	TX	$1.12M
BUCKNER RSVGLC PLLC	DALLAS	TX	$1.12M
BROADMOOR SRG PLLC	MESQUITE	TX	$1.06M
HILDEBRAND RSVM PLLC	SAN ANTONIO	TX	$901K
PRESTON RSVI PLLC	DALLAS	TX	$893K

Code	Claims	Beneficiaries	Total Paid
D2930	5,306	1,222	$769K
D2392	4,398	2,244	$434K
D1120	6,352	6,297	$224K
D9248	1,855	1,809	$211K
D0120	6,666	6,609	$187K
D0230	17,172	8,355	$186K
D0145	1,301	1,295	$181K
D7240	516	158	$145K
D3220	1,593	595	$130K
D1208	8,082	8,016	$115K
D1351	4,223	1,176	$112K
D0220	9,037	8,925	$107K
D0272	4,337	4,298	$95K
D9230	3,171	3,102	$83K
D2391	889	503	$68K
D2934	463	175	$67K
D0210	684	681	$43K
D0160	2,104	2,085	$30K
D1110	518	511	$27K
D0150	472	467	$16K
D2330	168	75	$12K
D7140	200	113	$11K
D0274	217	213	$7K
D0350	111	109	$950.24
D0140	37	37	$655.42
D0603	12,733	12,618	$0.00