Dental
Culebra Pediatric Dentistry, PLLC
Culebra Pediatric Dentistry, PLLC was paid $2.84M by Medicaid between Oct 2019 and Dec 2024, across 22 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 20% of everything it billed.
33Billing provider infoCULEBRA PEDIATRIC DENTISTRY, PLLC
SAN ANTONIO, TX 78251
SAN ANTONIO, TX 78251
33aNPI1720481278assigned 09/29/2014
33bProvider typeDentist
28Total paid$2.84M
24GClaims97,283
24DCodes billed22
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#70 of 1,678
Median peer was paid$35K
This provider vs. median82×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official AYALA, JOANNA controls 12+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 24 | $0.00 | |
| 2020 | 2,413 | $61K | |
| 2021 | 22,355 | $629K | |
| 2022 | 24,534 | $752K | |
| 2023 | 24,102 | $705K | |
| 2024incomplete | 23,855 | $695K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 20% | 4,079 | 4,031 | $557K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 16% | 3,232 | 983 | $451K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.9% | 8,310 | 8,152 | $283K |
| D1351 | Sealant - per tooth | 8.5% | 9,122 | 1,671 | $243K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.5% | 6,785 | 6,671 | $186K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.9% | 1,753 | 860 | $166K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.3% | 15,362 | 6,379 | $150K |
| D1206 | Topical application of fluoride varnish | 4.7% | 9,682 | 9,514 | $133K |
| D0272 | Bitewings - two radiographic images | 4.0% | 5,569 | 5,467 | $113K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 3,225 | 3,146 | $102K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 1,276 | 658 | $94K |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 7,245 | 7,026 | $83K |
10 more codes
| D1110 | Prophylaxis - adult | 2.5% | 1,353 | $70K |
| D0274 | Bitewings - four radiographic images | 1.9% | 1,761 | $54K |
| D9248 | 1.5% | 361 | $42K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 1,195 | $31K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 437 | $27K |
| D0330 | Panoramic radiographic image | <1% | 986 | $25K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 177 | $14K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 224 | $13K |
| D0140 | Limited oral evaluation - problem focused | <1% | 387 | $7K |
| D0603 | 0% | 14,762 | $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.
From NPPES
Who's on the registration
Authorized officialAYALA, JOANNA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Lytle Pediatric Dentistry, PLLC | Lytle, TX | $5.62M |
| Tots to Teens Pediatric Dentistry | Laredo, TX | $3.08M |
| Kerrville Pediatric Dentistry, PLLC | Kerrville, TX | $3.01M |
| Rittiman Pediatric Dentistry, PLLC | San Antonio, TX | $3.01M |
| Alamo Heights Dentistry for Children, PLLC | San Antonio, TX | $2.31M |
| Pleasanton Children's Dentistry | Pleasanton, TX | $1.64M |
| City Base Pediatric Dentistry, PLLC | San Antonio, TX | $1.48M |
| Helotes Pediatric Dentistry, PLLC | San Antonio, TX | $1.15M |
| Cibolo Pediatric Dentistry, PLLC | Cibolo, TX | $721K |
| Shaenfield Pediatric Dentistry, PLLC | San Antonio, TX | $514K |
| Murrieta Primary Care Clinic Joanna Ayala M D | Murrieta, CA | $265K |
| Stone Oak Children's Dentistry, PLLC | San Antonio, TX | $82K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.