Tobias, Junior

Tobias, Junior was paid $17K by Medicaid between Dec 2020 and Mar 2022, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 37% of everything it billed.

33Billing provider infoTOBIAS, JUNIOR
NORTHLAKE, TX 76226

33aNPI1134503725assigned 07/14/2015

33bProvider typeDentist

28Total paid$17K

24GClaims1,063

24DCodes billed8

24AFirst – last monthDec 2020 – Mar 2022

Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#991 of 1,678

Median peer was paid$35K

This provider vs. median0.5×

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
2020	96	$2K
2021	804	$13K
2022	163	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	37%	181	178	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	31%	192	189	$5K
D1208	Topical application of fluoride, excluding varnish	22%	274	267	$4K
D1110	Prophylaxis - adult	4.5%	14	14	$757.34
D0150	Comprehensive oral evaluation - new or established patient	2.5%	13	12	$420.31
D0330	Panoramic radiographic image	1.8%	13	12	$312.52
D0272	Bitewings - two radiographic images	1.5%	13	13	$257.18
D0603		0%	363	356	$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.