Clinic
Jacqueline Lopez DDS INC
Jacqueline Lopez DDS INC was paid $225K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is D2751, Crown - porcelain fused to predominantly base metal — 50% of everything it billed.
33Billing provider infoJACQUELINE LOPEZ DDS INC
NORTH HOLLYWOOD, CA 91605
NORTH HOLLYWOOD, CA 91605
33aNPI1649674581assigned 10/21/2014
33bProvider typeDental Clinic/Center
28Total paid$225K
24GClaims3,047
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#547 of 1,135
Median peer was paid$200K
This provider vs. median1.1×
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 | 445 | $9K | |
| 2019 | 415 | $10K | |
| 2020 | 410 | $9K | |
| 2021 | 244 | $6K | |
| 2022 | 293 | $13K | |
| 2023 | 388 | $29K | |
| 2024incomplete | 852 | $148K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 50% | 237 | 132 | $113K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 426 | 426 | $27K |
| D2954 | 8.3% | 179 | 106 | $19K | |
| D0210 | Intraoral - complete series of radiographic images | 8.3% | 413 | 413 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.1% | 228 | 228 | $14K |
| D4341 | 4.2% | 136 | 37 | $10K | |
| D4910 | 3.0% | 88 | 88 | $7K | |
| D1208 | Topical application of fluoride, excluding varnish | 2.0% | 396 | 396 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.4% | 46 | 27 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 734 | 163 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 51 | 25 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.1% | 61 | 61 | $2K |
2 more codes
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 officialLOPEZ, JACQUELINE (DENTIST)