Dental
Rodriguez, Maria De Jesus
Rodriguez, Maria De Jesus was paid $14K by Medicaid between Oct 2021 and Nov 2023, across 6 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 65% of everything it billed.
33Billing provider infoRODRIGUEZ, MARIA DE JESUS
PHARR, TX 78577
PHARR, TX 78577
33aNPI1396883351assigned 02/02/2007
33bProvider typePediatric Dentist
28Total paid$14K
24GClaims692
24DCodes billed6
24AFirst – last monthOct 2021 – Nov 2023
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#568 of 693
Median peer was paid$252K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2021 | 13 | $0.00 | |
| 2023 | 679 | $14K |
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 | 65% | 67 | 67 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 181 | 66 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 10% | 119 | 119 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.2% | 39 | 39 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 5.8% | 54 | 54 | $793.80 |
| D0603 | 0% | 232 | 232 | $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.