Dental
De LA Garza, Javier
De LA Garza, Javier was paid $718.75 by Medicaid between Aug 2023 and Oct 2023, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 55% of everything it billed.
33Billing provider infoDE LA GARZA, JAVIER
WESLACO, TX 78596
WESLACO, TX 78596
33aNPI1114240363assigned 03/02/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$718.75
24GClaims46
24DCodes billed2
24AFirst – last monthAug 2023 – Oct 2023
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#2,466 of 2,774
Median peer was paid$43K
This provider vs. median0.0×
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 | 46 | $718.75 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 55% | 17 | 14 | $395.35 |
| D1208 | Topical application of fluoride, excluding varnish | 45% | 29 | 25 | $323.40 |
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.