Clinic
Jose Luis Lopez DDS, INC.
Jose Luis Lopez DDS, INC. was paid $92K by Medicaid between Mar 2022 and Dec 2024, across 12 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoJOSE LUIS LOPEZ DDS, INC.
BALDWIN PARK, CA 91706
BALDWIN PARK, CA 91706
33aNPI1497424592assigned 09/10/2021
33bProvider typeDental Clinic/Center
28Total paid$92K
24GClaims1,925
24DCodes billed12
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#702 of 1,135
Median peer was paid$200K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2022 | 117 | $7K | |
| 2023 | 343 | $13K | |
| 2024incomplete | 1,465 | $72K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 24% | 413 | 98 | $22K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 241 | 93 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 235 | 234 | $16K |
| D4910 | 12% | 142 | 142 | $11K | |
| D2751 | Crown - porcelain fused to predominantly base metal | 10% | 20 | 13 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 7.0% | 140 | 139 | $6K |
| D9430 | 3.6% | 104 | 93 | $3K | |
| D2954 | 2.6% | 23 | 15 | $2K | |
| D2330 | 2.3% | 26 | 13 | $2K | |
| D0350 | 2.1% | 339 | 53 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 200 | 42 | $810.00 |
| D1206 | Topical application of fluoride varnish | <1% | 42 | 42 | $442.00 |
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 officialLOPEZ BENDEZU, JOSE (DENTIST)