Dental
De LA Pena, Carlos
De LA Pena, Carlos was paid $337K by Medicaid between Mar 2018 and Dec 2024, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.
33Billing provider infoDE LA PENA, CARLOS
EAGLE PASS, TX 78852
EAGLE PASS, TX 78852
33aNPI1265519805assigned 11/01/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$337K
24GClaims13,972
24DCodes billed18
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#651 of 2,774
Median peer was paid$43K
This provider vs. median7.9×
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 | 12 | $176.40 | |
| 2019 | 12 | $176.40 | |
| 2020 | 479 | $12K | |
| 2021 | 5,711 | $156K | |
| 2022 | 3,527 | $77K | |
| 2023 | 2,603 | $56K | |
| 2024incomplete | 1,628 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 20% | 1,318 | 1,275 | $67K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 2,371 | 2,284 | $62K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 1,293 | 1,251 | $44K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 2,755 | 2,665 | $38K |
| D0210 | Intraoral - complete series of radiographic images | 8.9% | 602 | 592 | $30K |
| D0274 | Bitewings - four radiographic images | 8.5% | 906 | 872 | $29K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.1% | 232 | 122 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.5% | 168 | 88 | $15K |
| D0145 | Oral evaluation for a patient under three years of age | 3.2% | 80 | 78 | $11K |
| D1351 | Sealant - per tooth | 2.5% | 355 | 50 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 228 | 220 | $7K |
| D0272 | Bitewings - two radiographic images | 2.0% | 303 | 293 | $7K |
6 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.