Dental
Jordan Dental PA
Jordan Dental PA was paid $1.04M by Medicaid between Jun 2018 and Dec 2024, across 19 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 11% of everything it billed.
33Billing provider infoJORDAN DENTAL PA
WESLACO, TX 78596
WESLACO, TX 78596
33aNPI1174947899assigned 02/17/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$1.04M
24GClaims40,517
24DCodes billed19
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#315 of 2,774
Median peer was paid$43K
This provider vs. median24×
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 | 24 | $176.40 | |
| 2020 | 1,168 | $29K | |
| 2021 | 9,774 | $259K | |
| 2022 | 10,696 | $285K | |
| 2023 | 10,321 | $257K | |
| 2024incomplete | 8,534 | $213K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 11% | 862 | 856 | $120K |
| D1110 | Prophylaxis - adult | 11% | 2,284 | 2,255 | $118K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 3,970 | 3,903 | $108K |
| D0210 | Intraoral - complete series of radiographic images | 9.7% | 1,481 | 1,458 | $101K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.9% | 936 | 421 | $92K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.7% | 2,516 | 2,509 | $91K |
| D1208 | Topical application of fluoride, excluding varnish | 6.5% | 4,798 | 4,759 | $68K |
| D1351 | Sealant - per tooth | 6.4% | 2,547 | 537 | $67K |
| D0274 | Bitewings - four radiographic images | 6.4% | 2,042 | 2,009 | $67K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 1,754 | 1,720 | $60K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.5% | 5,217 | 3,996 | $58K |
| D0220 | Intraoral - periapical first radiographic image | 5.0% | 4,278 | 4,214 | $52K |
7 more codes
| D0272 | Bitewings - two radiographic images | 3.1% | 1,422 | $33K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 24 | $4K |
| D9248 | <1% | 29 | $4K | |
| D4910 | <1% | 29 | $1K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 27 | $704.86 |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | $233.24 |
| D0603 | <1% | 6,289 | $9.00 |
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.
From NPPES
Who's on the registration
Authorized officialABID, KHALDOON (DDS/OWNER)