Clinic
Javiramel Dental PLLC
Javiramel Dental PLLC was paid $577K by Medicaid between Nov 2020 and Dec 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 28% of everything it billed.
33Billing provider infoJAVIRAMEL DENTAL PLLC
TYLER, TX 75703
TYLER, TX 75703
33aNPI1528607702assigned 01/05/2020
33bProvider typeDental Clinic/Center
28Total paid$577K
24GClaims19,406
24DCodes billed19
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#63 of 255
Median peer was paid$110K
This provider vs. median5.3×
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 | |
|---|---|---|---|
| 2020 | 448 | $12K | |
| 2021 | 3,826 | $93K | |
| 2022 | 5,413 | $153K | |
| 2023 | 4,876 | $158K | |
| 2024incomplete | 4,843 | $161K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 28% | 1,570 | 626 | $160K |
| D1110 | Prophylaxis - adult | 16% | 1,775 | 1,733 | $94K |
| D0274 | Bitewings - four radiographic images | 9.2% | 1,591 | 1,567 | $53K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 1,763 | 1,725 | $49K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.0% | 374 | 227 | $29K |
| D1206 | Topical application of fluoride varnish | 4.9% | 1,969 | 1,932 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 799 | 773 | $27K |
| D0210 | Intraoral - complete series of radiographic images | 4.4% | 388 | 374 | $26K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 2,044 | 2,001 | $25K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.9% | 627 | 615 | $22K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 1,991 | 1,910 | $22K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.0% | 436 | 397 | $12K |
7 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.0% | 111 | $11K |
| D1351 | Sealant - per tooth | 1.9% | 400 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 1.1% | 439 | $6K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 12 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 41 | $958.58 |
| D9986 | 0% | 13 | $0.00 | |
| D0603 | 0% | 3,063 | $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.
From NPPES
Who's on the registration
Authorized officialPEREZ, JAVIER (MANAGER/GENERAL DENTIST)
| Provider | Location | Paid |
|---|---|---|
| DR. Javier O. Perez P.S.C | Dorado, PR | $370K |
| Javier Perez MD PA | Hialeah, FL | $99K |
| J. Martin Perez, MD, LLC | Hackensack, NJ | $712.71 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.