Dental
Valle, Jose
Valle, Jose was paid $25K by Medicaid between Nov 2022 and Mar 2023, across 8 billing codes. Its largest line is D4341, — 30% of everything it billed.
33Billing provider infoVALLE, JOSE
CHICAGO HEIGHTS, IL 60411
CHICAGO HEIGHTS, IL 60411
33aNPI1780800391assigned 04/18/2007
33bProvider typeDentist
28Total paid$25K
24GClaims593
24DCodes billed8
24AFirst – last monthNov 2022 – Mar 2023
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#835 of 1,099
Median peer was paid$160K
This provider vs. median0.2×
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 | 119 | $4K | |
| 2023 | 474 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4341 | 30% | 51 | 24 | $7K | |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 129 | 129 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 148 | 147 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 123 | 123 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.4% | 52 | 33 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 48 | 48 | $1K |
| D0330 | Panoramic radiographic image | 3.1% | 28 | 27 | $756.00 |
| D0274 | Bitewings - four radiographic images | 1.0% | 14 | 14 | $254.32 |
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.