Jativa, Wendy

Jativa, Wendy was paid $2K by Medicaid between Apr 2019 and Jul 2020, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 69% of everything it billed.

33Billing provider infoJATIVA, WENDY
CLINTON, MI 49236

33aNPI1790976884assigned 08/05/2007

33bProvider typeDentist

28Total paid$2K

24GClaims58

24DCodes billed2

24AFirst – last monthApr 2019 – Jul 2020

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#834 of 1,033

Median peer was paid$15K

This provider vs. median0.1×

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
2019	34	$984.00
2020	24	$560.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	69%	44	44	$1K
D1120	Dental cleaning, childProphylaxis - child	31%	14	14	$480.00

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.