Dental
Tejada, Rodolfo
Tejada, Rodolfo was paid $34K by Medicaid between Jan 2020 and Jul 2022, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoTEJADA, RODOLFO
ORANGE CITY, FL 32763
ORANGE CITY, FL 32763
33aNPI1427345057assigned 07/04/2011
33bProvider typePediatric Dentist
28Total paid$34K
24GClaims2,856
24DCodes billed14
24AFirst – last monthJan 2020 – Jul 2022
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#164 of 246
Median peer was paid$107K
This provider vs. median0.3×
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 | 877 | $21K | |
| 2022 | 1,979 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 411 | 284 | $9K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 22% | 79 | 71 | $8K |
| D0274 | Bitewings - four radiographic images | 18% | 222 | 154 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 209 | 161 | $6K |
| D1110 | Prophylaxis - adult | 7.3% | 80 | 50 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.5% | 316 | 198 | $2K |
| D0272 | Bitewings - two radiographic images | 1.2% | 132 | 78 | $402.81 |
| D0330 | Panoramic radiographic image | 1.1% | 33 | 33 | $364.14 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 507 | 352 | $206.60 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 189 | 113 | $197.72 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 25 | 13 | $178.20 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 20 | 13 | $142.69 |
2 more codes
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.