Dental
JC De LA Osa, DDS, INC
JC De LA Osa, DDS, INC was paid $23K by Medicaid between Jan 2018 and Jul 2019, across 8 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 36% of everything it billed.
33Billing provider infoJC DE LA OSA, DDS, INC
LA PUENTE, CA 91744
LA PUENTE, CA 91744
33aNPI1447687843assigned 09/30/2013
33bProvider typeDentist
28Total paid$23K
24GClaims2,333
24DCodes billed8
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,724 of 2,314
Median peer was paid$185K
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 | |
|---|---|---|---|
| 2018 | 1,876 | $21K | |
| 2019 | 457 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 36% | 182 | 182 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 30% | 1,684 | 389 | $7K |
| D0272 | Bitewings - two radiographic images | 12% | 254 | 253 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 9.6% | 41 | 13 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.3% | 53 | 53 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 3.0% | 75 | 75 | $696.50 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.5% | 32 | 32 | $588.00 |
| D9430 | 1.4% | 12 | 12 | $320.00 |
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.
From NPPES
Who's on the registration
Authorized officialDE LA OSA, JORGE (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Jorge De LA Osa Dds.,Inc | Pomona, CA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.