De LA Cruz, Javier

De LA Cruz, Javier was paid $11K by Medicaid between Apr 2022 and Aug 2022, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.

33Billing provider infoDE LA CRUZ, JAVIER
BONITA SPRINGS, FL 34135

33aNPI1700267911assigned 06/12/2015

33bProvider typeDentist

28Total paid$11K

24GClaims660

24DCodes billed11

24AFirst – last monthApr 2022 – Aug 2022

Compared with peers

Next to other Dentist providers in Florida

Rank by total paid#333 of 542

Median peer was paid$25K

This provider vs. median0.4×

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
2022	660	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	29%	66	66	$3K
D0150	Comprehensive oral evaluation - new or established patient	21%	59	59	$2K
D1110	Prophylaxis - adult	18%	36	36	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	77	77	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	7.7%	13	12	$808.57
D0274	Bitewings - four radiographic images	7.1%	32	32	$749.04
D1206	Topical application of fluoride varnish	3.3%	157	157	$343.35
D0272	Bitewings - two radiographic images	<1%	56	56	$23.79
D1330		0%	139	139	$0.00
D0230	Intraoral - periapical each additional radiographic image	0%	12	12	$0.00
D0220	Intraoral - periapical first radiographic image	0%	13	13	$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.