Dental
J.A.Fajardo DDS INC.
J.A.Fajardo DDS INC. was paid $4K by Medicaid between Mar 2018 and Mar 2024, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.
33Billing provider infoJ.A.FAJARDO DDS INC.
EL MONTE, CA 91731
EL MONTE, CA 91731
33aNPI1689982050assigned 09/20/2010
33bProvider typeDentist
28Total paid$4K
24GClaims383
24DCodes billed5
24AFirst – last monthMar 2018 – Mar 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#2,009 of 2,314
Median peer was paid$185K
This provider vs. median0.0×
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 | 308 | $4K | |
| 2019 | 12 | $127.00 | |
| 2020 | 12 | $110.00 | |
| 2021 | 38 | $265.20 | |
| 2024incomplete | 13 | $184.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 43 | 43 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 27% | 118 | 118 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 32 | 32 | $993.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 13% | 159 | 74 | $573.60 |
| D0272 | Bitewings - two radiographic images | 8.0% | 31 | 31 | $346.00 |
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 officialFAJARDO, JOSE AGAPITO (PRESIDENT/DENTIST)