Dental
De LA Cotera, Fred
De LA Cotera, Fred was paid $5K by Medicaid between Jul 2023 and May 2024, across 2 billing codes. Its largest line is D9310, — 54% of everything it billed.
33Billing provider infoDE LA COTERA, FRED
ELMWOOD PARK, IL 60707
ELMWOOD PARK, IL 60707
33aNPI1437139185assigned 01/19/2006
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$5K
24GClaims251
24DCodes billed2
24AFirst – last monthJul 2023 – May 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Illinois
Rank by total paid#15 of 19
Median peer was paid$34K
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 | |
|---|---|---|---|
| 2023 | 188 | $4K | |
| 2024incomplete | 63 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9310 | 54% | 150 | 150 | $3K | |
| D0330 | Panoramic radiographic image | 46% | 101 | 101 | $2K |
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.