Dental
Tavarez, Lourdes
Tavarez, Lourdes was paid $1K by Medicaid between Feb 2024 and Apr 2024, across 7 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 23% of everything it billed.
33Billing provider infoTAVAREZ, LOURDES
ALAMO, TX 78516
ALAMO, TX 78516
33aNPI1437603800assigned 08/15/2016
33bProvider typeDentist
28Total paid$1K
24GClaims256
24DCodes billed7
24AFirst – last monthFeb 2024 – Apr 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#1,385 of 1,678
Median peer was paid$35K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 256 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 21 | 21 | $335.54 |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 18 | 18 | $294.08 |
| D0230 | Intraoral - periapical each additional radiographic image | 18% | 66 | 23 | $259.64 |
| D1206 | Topical application of fluoride varnish | 16% | 37 | 37 | $235.20 |
| D0274 | Bitewings - four radiographic images | 12% | 16 | 15 | $168.26 |
| D0220 | Intraoral - periapical first radiographic image | 9.9% | 26 | 25 | $141.59 |
| D0603 | 0% | 72 | 71 | $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.