Clinic
Jed De LA Paz LLC
Jed De LA Paz LLC was paid $494K by Medicaid between Feb 2018 and Nov 2024, across 19 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 16% of everything it billed.
33Billing provider infoJED DE LA PAZ LLC
TACOMA, WA 98409
TACOMA, WA 98409
33aNPI1366959009assigned 01/03/2018
33bProvider typeDental Clinic/Center
28Total paid$494K
24GClaims23,606
24DCodes billed19
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Washington
Rank by total paid#77 of 143
Median peer was paid$573K
This provider vs. median0.9×
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 | 7,422 | $144K | |
| 2019 | 7,584 | $147K | |
| 2020 | 4,061 | $65K | |
| 2021 | 1,037 | $23K | |
| 2022 | 1,314 | $47K | |
| 2023 | 979 | $31K | |
| 2024incomplete | 1,209 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 16% | 3,033 | 2,716 | $77K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 11% | 798 | 463 | $55K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 10% | 822 | 390 | $51K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.9% | 1,374 | 644 | $49K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.2% | 1,892 | 1,732 | $45K |
| D1110 | Prophylaxis - adult | 8.1% | 1,422 | 1,287 | $40K |
| D0210 | Intraoral - complete series of radiographic images | 7.7% | 1,402 | 1,253 | $38K |
| D0220 | Intraoral - periapical first radiographic image | 6.9% | 4,147 | 3,668 | $34K |
| D4341 | 6.3% | 1,648 | 369 | $31K | |
| D1208 | Topical application of fluoride, excluding varnish | 4.6% | 2,120 | 1,925 | $22K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 656 | 324 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.3% | 631 | 579 | $11K |
7 more codes
| D1999 | 2.0% | 789 | $10K | |
| D0274 | Bitewings - four radiographic images | 1.2% | 682 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,028 | $3K |
| D1120 | Dental cleaning, child | <1% | 78 | $2K |
| D2335 | <1% | 18 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 33 | $346.82 |
| D0272 | Bitewings - two radiographic images | <1% | 33 | $308.70 |
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 officialDE LA PAZ, JED (OWNER DENTIST)