Dental
Servan Diaz, Eduardo
Servan Diaz, Eduardo was paid $1.32M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is D0120, dental checkup, returning patient — 15% of everything it billed.
33Billing provider infoSERVAN DIAZ, EDUARDO
HUNTINGTON PARK, CA 90255
HUNTINGTON PARK, CA 90255
33aNPI1619132057assigned 07/24/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$1.32M
24GClaims59,441
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#453 of 2,668
Median peer was paid$173K
This provider vs. median7.7×
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 | 10,201 | $175K | |
| 2019 | 9,673 | $204K | |
| 2020 | 6,774 | $152K | |
| 2021 | 7,283 | $139K | |
| 2022 | 8,690 | $211K | |
| 2023 | 8,335 | $205K | |
| 2024incomplete | 8,485 | $237K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 3,556 | 3,542 | $202K |
| D1110 | Prophylaxis - adult | 12% | 1,817 | 1,804 | $154K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.3% | 3,195 | 3,187 | $123K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.0% | 28,960 | 5,342 | $119K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 7.4% | 1,475 | 858 | $99K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.8% | 1,392 | 1,383 | $89K |
| D1351 | Sealant - per tooth | 5.2% | 2,551 | 739 | $69K |
| D7140 | Extraction, erupted tooth or exposed root | 5.0% | 1,163 | 657 | $66K |
| D2140 | 5.0% | 1,221 | 688 | $66K | |
| D0274 | Bitewings - four radiographic images | 4.7% | 2,938 | 2,918 | $63K |
| D1208 | Topical application of fluoride, excluding varnish | 4.5% | 4,805 | 4,784 | $60K |
| D4341 | 4.1% | 769 | 196 | $54K |
11 more codes
| D4910 | 4.0% | 689 | $53K | |
| D9110 | 2.5% | 525 | $33K | |
| D9430 | 1.4% | 597 | $19K | |
| D0272 | Bitewings - two radiographic images | 1.2% | 1,378 | $16K |
| D0350 | 1.0% | 1,371 | $13K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 258 | $12K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 679 | $8K |
| D2330 | <1% | 35 | $3K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 41 | $2K |
| D2160 | <1% | 14 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 12 | $176.00 |
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.