Dental
Jefferson Dental
Jefferson Dental was paid $150K by Medicaid between Jan 2018 and Mar 2021, across 14 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 22% of everything it billed.
33Billing provider infoJEFFERSON DENTAL
LA QUINTA, CA 92253
LA QUINTA, CA 92253
33aNPI1154638500assigned 09/07/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$150K
24GClaims5,637
24DCodes billed14
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,393 of 2,668
Median peer was paid$173K
This provider vs. median0.9×
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 | 1,503 | $23K | |
| 2019 | 2,252 | $71K | |
| 2020 | 1,385 | $43K | |
| 2021 | 497 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 22% | 521 | 520 | $33K |
| D0210 | Intraoral - complete series of radiographic images | 15% | 472 | 470 | $22K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 13% | 42 | 38 | $19K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 280 | 140 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.9% | 305 | 301 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.9% | 2,227 | 509 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.8% | 250 | 246 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.2% | 117 | 64 | $6K |
| D0274 | Bitewings - four radiographic images | 4.0% | 349 | 349 | $6K |
| D1206 | Topical application of fluoride varnish | 3.6% | 482 | 480 | $5K |
| D1110 | Prophylaxis - adult | 3.0% | 53 | 53 | $5K |
| D9430 | 2.4% | 114 | 113 | $4K |
2 more codes
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 officialHUQ, SYEDA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Huq DDS INC | La Quinta, CA | $184K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.