Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Jessica a Lizana DDS, INC

Jessica a Lizana DDS, INC was paid $702K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 16% of everything it billed.

33Billing provider infoJESSICA A LIZANA DDS, INC
NORTHRIDGE, CA 91324
33aNPI1194104778assigned 05/28/2015
33bProvider typeDentist
28Total paid$702K
24GClaims20,739
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Dentist providers in California

Rank by total paid#653 of 2,314
Median peer was paid$185K
This provider vs. median3.8×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20181,587$34K
20191,535$41K
20202,276$66K
20214,642$163K
20223,801$158K
20233,551$127K
2024incomplete3,347$113K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 16% 1,456 730 $115K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 15% 1,903 1,893 $108K
D9430 13% 2,968 2,148 $95K
D0150 Comprehensive oral evaluation - new or established patient 11% 1,205 1,195 $75K
D1120 Dental cleaning, childProphylaxis - child 6.6% 1,192 1,185 $46K
D0210 Intraoral - complete series of radiographic images 6.1% 946 939 $43K
D4341 5.3% 527 141 $37K
D1110 Prophylaxis - adult 4.8% 447 438 $34K
D2394 4.2% 358 230 $30K
D1208 Topical application of fluoride, excluding varnish 3.8% 2,324 2,313 $27K
D4910 3.3% 327 327 $23K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3.2% 337 175 $22K
7 more codes
D0274 Bitewings - four radiographic images 2.7% 976 $19K
D0230 Intraoral - periapical each additional radiographic image 2.3% 4,193 $16K
D0220 Intraoral - periapical first radiographic image <1% 358 $4K
D0240 <1% 371 $3K
D0350 <1% 670 $3K
D4342 <1% 38 $2K
D0272 Bitewings - two radiographic images <1% 143 $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.

From NPPES

Who's on the registration

Authorized officialLIZANA, JESSICA (GENERAL DENTIST)