Dental
Chavez-Mayorga, Carla
Chavez-Mayorga, Carla was paid $110K by Medicaid between Mar 2021 and Sep 2024, across 25 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.
33Billing provider infoCHAVEZ-MAYORGA, CARLA
CHARLOTTESVILLE, VA 22903
CHARLOTTESVILLE, VA 22903
33aNPI1760809354assigned 03/21/2014
33bProvider typeDentist
28Total paid$110K
24GClaims7,585
24DCodes billed25
24AFirst – last monthMar 2021 – Sep 2024
Compared with peers
Next to other Dentist providers in Virginia
Rank by total paid#138 of 417
Median peer was paid$34K
This provider vs. median3.3×
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 | |
|---|---|---|---|
| 2021 | 852 | $26K | |
| 2022 | 1,518 | $55K | |
| 2023 | 1,928 | $29K | |
| 2024incomplete | 3,287 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 29% | 1,033 | 1,021 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 654 | 597 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.4% | 278 | 189 | $10K |
| D0274 | Bitewings - four radiographic images | 7.9% | 603 | 595 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.0% | 662 | 660 | $8K |
| D9630 | 6.6% | 814 | 805 | $7K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.8% | 142 | 99 | $6K |
| D0140 | Limited oral evaluation - problem focused | 5.7% | 522 | 504 | $6K |
| D0330 | Panoramic radiographic image | 4.7% | 118 | 101 | $5K |
| D9994 | 3.6% | 1,109 | 1,101 | $4K | |
| D0210 | Intraoral - complete series of radiographic images | 3.3% | 287 | 284 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 406 | 393 | $3K |
13 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.1% | 33 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 190 | $702.78 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 75 | $0.00 |
| D4355 | 0% | 136 | $0.00 | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 0% | 29 | $0.00 |
| D3120 | 0% | 167 | $0.00 | |
| D9920 | 0% | 88 | $0.00 | |
| D2950 | 0% | 67 | $0.00 | |
| D4341 | 0% | 35 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 68 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 40 | $0.00 |
| D7880 | 0% | 13 | $0.00 | |
| D2740 | Crown - porcelain/ceramic | 0% | 16 | $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.