Mesa, Tyler
Mesa, Tyler was paid $735K by Medicaid between Aug 2020 and Dec 2024, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoMESA, TYLER
COVINGTON, LA 70433
COVINGTON, LA 70433
33aNPI1134625114assigned 03/30/2018
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$735K
24GClaims23,141
24DCodes billed20
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Louisiana
Rank by total paid#5 of 43
Median peer was paid$6K
This provider vs. median115×
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 | 907 | $22K | |
| 2021 | 6,155 | $197K | |
| 2022 | 6,076 | $186K | |
| 2023 | 3,568 | $129K | |
| 2024incomplete | 6,435 | $202K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 4,084 | 3,709 | $131K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 764 | 325 | $103K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.8% | 794 | 447 | $72K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.8% | 2,661 | 2,430 | $64K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.4% | 1,312 | 1,195 | $54K |
| D1208 | Topical application of fluoride, excluding varnish | 6.3% | 2,433 | 2,347 | $46K |
| D1206 | Topical application of fluoride varnish | 5.5% | 1,916 | 1,617 | $41K |
| D0145 | Oral evaluation for a patient under three years of age | 5.2% | 881 | 780 | $39K |
| D0272 | Bitewings - two radiographic images | 5.2% | 1,955 | 1,783 | $38K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.5% | 1,072 | 868 | $33K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 2,152 | 1,893 | $27K |
| D7140 | Extraction, erupted tooth or exposed root | 3.6% | 348 | 172 | $26K |
8 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 1,478 | $18K |
| D1351 | Sealant - per tooth | 2.2% | 626 | $16K |
| D1110 | Prophylaxis - adult | 1.1% | 169 | $8K |
| D9920 | <1% | 117 | $6K | |
| D0330 | Panoramic radiographic image | <1% | 90 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 251 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 22 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 16 | $2K |
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.