Mendoza, David

Mendoza, David was paid $144K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 21% of everything it billed.

33Billing provider infoMENDOZA, DAVID
WICHITA, KS 67217

33aNPI1548280308assigned 07/21/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$144K

24GClaims3,755

24DCodes billed16

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Kansas

Rank by total paid#60 of 203

Median peer was paid$40K

This provider vs. median3.6×

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	1,621	$54K
2019	1,020	$33K
2020	477	$12K
2024incomplete	637	$45K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	21%	447	442	$30K
D7140	Extraction, erupted tooth or exposed root	16%	289	125	$23K
D1110	Prophylaxis - adult	14%	399	392	$20K
D0140	Limited oral evaluation - problem focused	9.9%	510	445	$14K
D0274	Bitewings - four radiographic images	9.1%	480	466	$13K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	6.8%	434	427	$10K
D1120	Dental cleaning, childProphylaxis - child	6.5%	101	99	$9K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3.2%	69	42	$5K
D1208	Topical application of fluoride, excluding varnish	3.1%	276	268	$4K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	2.7%	182	139	$4K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	2.3%	32	13	$3K
D0220	Intraoral - periapical first radiographic image	1.6%	289	276	$2K

4 more codes

D0150	Comprehensive oral evaluation - new or established patient	1.6%	85	$2K
D0330	Panoramic radiographic image	1.1%	28	$2K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	16	$1K
D0230	Intraoral - periapical each additional radiographic image	0%	118	$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.