Clinic
Jairo Sepulveda DDS, INC.
Jairo Sepulveda DDS, INC. was paid $64K by Medicaid between May 2018 and Oct 2024, across 7 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 67% of everything it billed.
33Billing provider infoJAIRO SEPULVEDA DDS, INC.
LINDSAY, CA 93247
LINDSAY, CA 93247
33aNPI1093229114assigned 11/28/2017
33bProvider typeDental Clinic/Center
28Total paid$64K
24GClaims1,181
24DCodes billed7
24AFirst – last monthMay 2018 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#757 of 1,135
Median peer was paid$200K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2018 | 178 | $9K | |
| 2019 | 138 | $8K | |
| 2020 | 15 | $990.00 | |
| 2021 | 62 | $4K | |
| 2022 | 152 | $9K | |
| 2023 | 350 | $19K | |
| 2024incomplete | 286 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 67% | 678 | 675 | $43K |
| D0330 | Panoramic radiographic image | 11% | 234 | 234 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | 9.0% | 105 | 31 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 6.6% | 99 | 97 | $4K |
| D1110 | Prophylaxis - adult | 3.4% | 24 | 24 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.7% | 26 | 26 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.5% | 15 | 15 | $970.00 |
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 officialSEPULVEDA, JAIRO (DENTIST/ OWNER)