Dental
Tovar, James
Tovar, James was paid $3K by Medicaid between Jul 2023 and Mar 2024, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 33% of everything it billed.
33Billing provider infoTOVAR, JAMES
HELOTES, TX 78023
HELOTES, TX 78023
33aNPI1104251206assigned 09/08/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$3K
24GClaims139
24DCodes billed5
24AFirst – last monthJul 2023 – Mar 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#2,224 of 2,774
Median peer was paid$43K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 80 | $2K | |
| 2024incomplete | 59 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 33% | 32 | 31 | $869.35 |
| D1120 | Dental cleaning, childProphylaxis - child | 32% | 25 | 25 | $845.25 |
| D1110 | Prophylaxis - adult | 21% | 12 | 12 | $548.80 |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 28 | 28 | $396.90 |
| D0602 | 0% | 42 | 42 | $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.