Dental
LA Joya Pediatric Dentistry
LA Joya Pediatric Dentistry was paid $1.53M by Medicaid between Nov 2020 and Dec 2024, across 20 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 13% of everything it billed.
33Billing provider infoLA JOYA PEDIATRIC DENTISTRY
LA JOYA, TX 78560
LA JOYA, TX 78560
33aNPI1356650840assigned 09/30/2010
33bProvider typePediatric Dentist
28Total paid$1.53M
24GClaims54,638
24DCodes billed20
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#143 of 693
Median peer was paid$252K
This provider vs. median6.1×
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 | |
|---|---|---|---|
| 2020 | 1,239 | $32K | |
| 2021 | 12,665 | $362K | |
| 2022 | 13,642 | $400K | |
| 2023 | 15,086 | $420K | |
| 2024incomplete | 12,006 | $318K |
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 | 13% | 1,469 | 1,451 | $205K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 5,071 | 5,055 | $184K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 1,604 | 925 | $161K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.8% | 5,278 | 5,262 | $151K |
| D1351 | Sealant - per tooth | 9.5% | 5,345 | 1,499 | $146K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.3% | 1,643 | 902 | $128K |
| D1208 | Topical application of fluoride, excluding varnish | 7.0% | 7,362 | 7,332 | $107K |
| D0272 | Bitewings - two radiographic images | 6.8% | 4,609 | 4,593 | $104K |
| D1110 | Prophylaxis - adult | 6.2% | 1,754 | 1,743 | $95K |
| D0274 | Bitewings - four radiographic images | 3.8% | 1,836 | 1,828 | $58K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 1,603 | 1,587 | $55K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.6% | 1,503 | 1,439 | $40K |
8 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.1% | 223 | $33K |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 2,731 | $31K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 2,501 | $24K |
| D9248 | <1% | 61 | $7K | |
| D0330 | Panoramic radiographic image | <1% | 299 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 37 | $676.08 |
| D0350 | <1% | 12 | $18.38 | |
| D0603 | 0% | 9,697 | $0.00 |
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 officialMEGO, DANIEL (PEDIATRIC DENTIST/OWNER)