Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › LA › Slidell › NPI 1780301036
Dental

Tyler R Mesa Pediatric Dentistry

Tyler R Mesa Pediatric Dentistry was paid $131K by Medicaid between May 2023 and Dec 2024, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.

33Billing provider infoTYLER R MESA PEDIATRIC DENTISTRY
SLIDELL, LA 70461
33aNPI1780301036assigned 10/26/2022
33bProvider typePediatric Dentist
28Total paid$131K
24GClaims2,897
24DCodes billed15
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Louisiana

Rank by total paid#74 of 98
Median peer was paid$469K
This provider vs. median0.3×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2023604$31K
2024incomplete2,293$99K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 21% 578 577 $27K
D0150 Comprehensive oral evaluation - new or established patient 14% 335 325 $19K
D2930 Prefabricated stainless steel crown - primary tooth 12% 75 30 $15K
D1206 Topical application of fluoride varnish 11% 431 431 $14K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 8.4% 101 56 $11K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 7.1% 216 181 $9K
D0272 Bitewings - two radiographic images 6.8% 333 327 $9K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 6.6% 243 243 $9K
D0220 Intraoral - periapical first radiographic image 4.0% 280 273 $5K
D7140 Extraction, erupted tooth or exposed root 3.7% 47 27 $5K
D1208 Topical application of fluoride, excluding varnish 1.7% 83 83 $2K
D0145 Oral evaluation for a patient under three years of age 1.3% 25 25 $2K
3 more codes
D0230 Intraoral - periapical each additional radiographic image 1.2% 104 $2K
D1351 Sealant - per tooth 1.0% 32 $1K
D0330 Panoramic radiographic image <1% 14 $1K

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 officialMESA, TYLER (OWNER/PEDIATRIC DENTIST)