Dental
Acosta, John
Acosta, John was paid $4.66M by Medicaid between Jul 2019 and Dec 2024, across 28 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoACOSTA, JOHN
SOUTHAVEN, MS 38671
SOUTHAVEN, MS 38671
33aNPI1841356169assigned 12/29/2006
33bProvider typePediatric Dentist
28Total paid$4.66M
24GClaims141,878
24DCodes billed28
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Mississippi
Rank by total paid#5 of 81
Median peer was paid$580K
This provider vs. median8.0×
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 | 12,199 | $441K | |
| 2020 | 28,091 | $890K | |
| 2021 | 41,387 | $1.24M | |
| 2022 | 16,791 | $546K | |
| 2023 | 21,062 | $744K | |
| 2024incomplete | 22,348 | $796K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 23,140 | 22,744 | $770K |
| D1206 | Topical application of fluoride varnish | 13% | 29,397 | 28,866 | $611K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 4,407 | 2,237 | $492K |
| D1351 | Sealant - per tooth | 8.8% | 13,784 | 3,625 | $410K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.6% | 12,745 | 12,482 | $307K |
| D1110 | Prophylaxis - adult | 5.8% | 6,327 | 6,204 | $269K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.4% | 3,448 | 2,296 | $252K |
| D0330 | Panoramic radiographic image | 5.2% | 7,336 | 7,161 | $242K |
| D7140 | Extraction, erupted tooth or exposed root | 3.4% | 2,646 | 1,605 | $160K |
| D0272 | Bitewings - two radiographic images | 3.3% | 9,065 | 8,883 | $152K |
| D9248 | 3.2% | 1,857 | 1,726 | $148K | |
| D0274 | Bitewings - four radiographic images | 2.9% | 5,320 | 5,213 | $137K |
16 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.4% | 3,962 | $113K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 3,876 | $111K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.3% | 1,317 | $107K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 1,688 | $102K |
| D1353 | 1.3% | 2,225 | $61K | |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 4,214 | $50K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 818 | $38K |
| D1510 | <1% | 234 | $36K | |
| D2929 | <1% | 274 | $31K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 830 | $18K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,679 | $15K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 576 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 238 | $4K |
| D4355 | <1% | 56 | $3K | |
| D9996 | 0% | 105 | $0.00 | |
| D1330 | 0% | 314 | $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.