Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Ma Lourdes Andres-Javier, DDS INC.

Ma Lourdes Andres-Javier, DDS INC. was paid $381K by Medicaid between Jan 2018 and Sep 2022, across 16 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 20% of everything it billed.

33Billing provider infoMA LOURDES ANDRES-JAVIER, DDS INC.
BAKERSFIELD, CA 93304
33aNPI1063560381assigned 01/05/2007
28Total paid$381K
24GClaims11,828
24DCodes billed16
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#1,001 of 2,668
Median peer was paid$173K
This provider vs. median2.2×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20183,879$118K
20193,227$109K
20202,704$76K
20211,071$35K
2022947$43K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 20% 1,285 1,283 $77K
D1110 Prophylaxis - adult 17% 808 803 $63K
D2391 Resin-based composite - one surface, posterior, primary or permanent 11% 796 361 $42K
D0210 Intraoral - complete series of radiographic images 11% 899 895 $40K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 8.7% 509 264 $33K
D9430 8.0% 977 888 $30K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 5.3% 453 450 $20K
D1208 Topical application of fluoride, excluding varnish 4.6% 1,515 1,506 $18K
D7140 Extraction, erupted tooth or exposed root 4.4% 292 123 $17K
D0230 Intraoral - periapical each additional radiographic image 3.2% 3,043 991 $12K
D1120 Dental cleaning, childProphylaxis - child 3.1% 375 372 $12K
D0220 Intraoral - periapical first radiographic image 2.3% 755 733 $9K
4 more codes
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 1.2% 41 $5K
D2330 <1% 28 $2K
D0274 Bitewings - four radiographic images <1% 39 $820.80
D0290 <1% 13 $455.00

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 officialANDRES-JAVIER, MA LOURDES (GENERAL DENTIST)