Dental
Diaz Rodriguez, Rafael
Diaz Rodriguez, Rafael was paid $5K by Medicaid between Feb 2022 and Aug 2024, across 7 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 28% of everything it billed.
33Billing provider infoDIAZ RODRIGUEZ, RAFAEL
SPRING, TX 77386
SPRING, TX 77386
33aNPI1396952495assigned 05/17/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$5K
24GClaims358
24DCodes billed7
24AFirst – last monthFeb 2022 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#2,088 of 2,774
Median peer was paid$43K
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 | |
|---|---|---|---|
| 2022 | 84 | $895.02 | |
| 2023 | 137 | $2K | |
| 2024incomplete | 137 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 28% | 120 | 58 | $1K |
| D1206 | Topical application of fluoride varnish | 26% | 87 | 87 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 34 | 34 | $952.05 |
| D0220 | Intraoral - periapical first radiographic image | 16% | 62 | 61 | $741.04 |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 15 | 15 | $477.75 |
| D0603 | 0% | 14 | 14 | $0.00 | |
| D0602 | 0% | 26 | 26 | $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.