Dental
Jairo H Molta Dds.Inc.
Jairo H Molta Dds.Inc. was paid $1.15M by Medicaid between Jan 2018 and Aug 2024, across 22 billing codes. Its largest line is D0120, dental checkup, returning patient — 23% of everything it billed.
33Billing provider infoJAIRO H MOLTA DDS.INC.
FRESNO, CA 93710
FRESNO, CA 93710
33aNPI1487789889assigned 02/23/2007
33bProvider typeDentist
28Total paid$1.15M
24GClaims53,166
24DCodes billed22
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#449 of 2,314
Median peer was paid$185K
This provider vs. median6.2×
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 | 12,394 | $223K | |
| 2019 | 11,526 | $257K | |
| 2020 | 4,984 | $92K | |
| 2021 | 6,650 | $133K | |
| 2022 | 7,162 | $181K | |
| 2023 | 5,982 | $149K | |
| 2024incomplete | 4,468 | $114K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 5,014 | 5,003 | $261K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 4,716 | 4,706 | $174K |
| D1110 | Prophylaxis - adult | 9.8% | 1,340 | 1,330 | $112K |
| D1351 | Sealant - per tooth | 8.0% | 3,402 | 1,158 | $91K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.7% | 21,828 | 4,860 | $89K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.7% | 1,172 | 669 | $77K |
| D1208 | Topical application of fluoride, excluding varnish | 6.6% | 6,160 | 6,140 | $76K |
| D0210 | Intraoral - complete series of radiographic images | 4.4% | 1,100 | 1,098 | $51K |
| D0274 | Bitewings - four radiographic images | 4.2% | 2,332 | 2,321 | $48K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 647 | 645 | $39K |
| D2140 | 2.9% | 633 | 341 | $34K | |
| D1310 | 1.6% | 445 | 445 | $19K |
10 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.
From NPPES
Who's on the registration
Authorized officialMOLTA, JAIRO (OWNER)