Dental
Beovides Bonachea, Keyttia
Beovides Bonachea, Keyttia was paid $8K by Medicaid between Nov 2022 and Mar 2024, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoBEOVIDES BONACHEA, KEYTTIA
KATY, TX 77449
KATY, TX 77449
33aNPI1366995425assigned 07/25/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$8K
24GClaims479
24DCodes billed8
24AFirst – last monthNov 2022 – Mar 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,953 of 2,774
Median peer was paid$43K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2022 | 57 | $924.13 | |
| 2023 | 284 | $5K | |
| 2024incomplete | 138 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 55 | 55 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 24% | 128 | 128 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 63 | 63 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 14% | 92 | 92 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 84 | 77 | $886.27 |
| D0272 | Bitewings - two radiographic images | 3.5% | 12 | 12 | $280.56 |
| D0601 | 0% | 33 | 33 | $0.00 | |
| D0602 | 0% | 12 | 12 | $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.