Dental
Perez, Javier
Perez, Javier was paid $92K by Medicaid between Jun 2023 and Apr 2024, across 14 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 41% of everything it billed.
33Billing provider infoPEREZ, JAVIER
TYLER, TX 75703
TYLER, TX 75703
33aNPI1255619466assigned 07/22/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$92K
24GClaims2,949
24DCodes billed14
24AFirst – last monthJun 2023 – Apr 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,109 of 2,774
Median peer was paid$43K
This provider vs. median2.2×
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 | |
|---|---|---|---|
| 2023 | 1,956 | $65K | |
| 2024incomplete | 993 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 41% | 399 | 156 | $38K |
| D1110 | Prophylaxis - adult | 16% | 284 | 265 | $14K |
| D0274 | Bitewings - four radiographic images | 9.8% | 280 | 262 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.4% | 291 | 272 | $8K |
| D1206 | Topical application of fluoride varnish | 5.7% | 386 | 364 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.2% | 46 | 29 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 345 | 324 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.9% | 337 | 313 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 49 | 47 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.6% | 45 | 43 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 15 | 13 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 16 | 14 | $406.65 |
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.