Dental
Chavez, Carlos
Chavez, Carlos was paid $158K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.
33Billing provider infoCHAVEZ, CARLOS
GARDEN GROVE, CA 92844
GARDEN GROVE, CA 92844
33aNPI1649298639assigned 07/17/2006
33bProvider typeDentist
28Total paid$158K
24GClaims4,186
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,219 of 2,314
Median peer was paid$185K
This provider vs. median0.9×
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 | 825 | $22K | |
| 2019 | 800 | $29K | |
| 2020 | 784 | $29K | |
| 2021 | 548 | $19K | |
| 2022 | 299 | $14K | |
| 2023 | 478 | $23K | |
| 2024incomplete | 452 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 31% | 588 | 588 | $49K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 774 | 774 | $39K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12% | 350 | 162 | $19K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 1,365 | 1,363 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.7% | 224 | 224 | $14K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.5% | 275 | 275 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 4.4% | 149 | 149 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.4% | 33 | 27 | $2K |
| D0274 | Bitewings - four radiographic images | 1.1% | 89 | 88 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 339 | 83 | $1K |
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.