Acosta, Jared

Acosta, Jared was paid $301K by Medicaid between Jan 2018 and Jul 2020, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.

33Billing provider infoACOSTA, JARED
TUCSON, AZ 85710

33aNPI1528264280assigned 06/21/2007

33bProvider typeDentist

28Total paid$301K

24GClaims9,064

24DCodes billed14

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other Dentist providers in Arizona

Rank by total paid#31 of 468

Median peer was paid$686.85

This provider vs. median439×

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	8,288	$281K
2019	635	$17K
2020	141	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	2,040	1,999	$54K
D1208	Topical application of fluoride, excluding varnish	13%	2,027	1,985	$40K
D1120	Dental cleaning, childProphylaxis - child	13%	1,104	1,080	$39K
D1110	Prophylaxis - adult	13%	814	797	$39K
D0272	Bitewings - two radiographic images	12%	1,543	1,507	$37K
D2930	Prefabricated stainless steel crown - primary tooth	12%	267	101	$36K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	5.1%	196	83	$15K
D2150	Silver amalgam - two surfaces, primary or permanent	4.1%	154	118	$12K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	2.9%	330	294	$9K
D1351	Sealant - per tooth	2.1%	223	55	$6K
D2140		1.7%	79	60	$5K
D0210	Intraoral - complete series of radiographic images	1.4%	48	47	$4K

2 more codes

D0220	Intraoral - periapical first radiographic image	<1%	167	$3K
D0140	Limited oral evaluation - problem focused	<1%	72	$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.