Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Diaz, Ivette

Diaz, Ivette was paid $50K by Medicaid between Jan 2021 and Apr 2024, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.

33Billing provider infoDIAZ, IVETTE
PEARLAND, TX 77584
33aNPI1871643312assigned 01/10/2007
33bProvider typePediatric Dentist
28Total paid$50K
24GClaims3,351
24DCodes billed12
24AFirst – last monthJan 2021 – Apr 2024
Compared with peers

Next to other Pediatric Dentist providers in Texas

Rank by total paid#480 of 693
Median peer was paid$252K
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

$0$5.0K$10K2018201920202021202220232024
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
2021682$8K
2022180$4K
20231,724$26K
2024incomplete765$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 25% 358 344 $12K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 19% 347 333 $9K
D0272 Bitewings - two radiographic images 14% 310 295 $7K
D0220 Intraoral - periapical first radiographic image 10% 449 427 $5K
D0230 Intraoral - periapical each additional radiographic image 10% 477 408 $5K
D1208 Topical application of fluoride, excluding varnish 9.5% 349 329 $5K
D0145 Oral evaluation for a patient under three years of age 6.6% 27 24 $3K
D1351 Sealant - per tooth 4.3% 79 27 $2K
D0150 Comprehensive oral evaluation - new or established patient 1.8% 27 25 $883.00
D1999 0% 126 109 $0.00
D0603 0% 639 610 $0.00
D1330 0% 163 152 $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.