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

Javier H. Lopez DDS, INC

Javier H. Lopez DDS, INC was paid $735K by Medicaid between Aug 2022 and Nov 2024, across 24 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 19% of everything it billed.

33Billing provider infoJAVIER H. LOPEZ DDS, INC
ANTIOCH, CA 94509
33aNPI1881341600assigned 03/02/2022
33bProvider typeDentist
28Total paid$735K
24GClaims18,904
24DCodes billed24
24AFirst – last monthAug 2022 – Nov 2024
Compared with peers

Next to other Dentist providers in California

Rank by total paid#631 of 2,314
Median peer was paid$185K
This provider vs. median4.0×

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

$0$20K$40K$60K2018201920202021202220232024
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
20223,618$121K
20237,269$292K
2024incomplete8,017$322K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 19% 2,101 2,077 $138K
D1110 Prophylaxis - adult 16% 1,381 1,367 $121K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 11% 1,171 749 $77K
D0210 Intraoral - complete series of radiographic images 9.7% 1,520 1,505 $71K
D2391 Resin-based composite - one surface, posterior, primary or permanent 6.6% 899 603 $48K
D7140 Extraction, erupted tooth or exposed root 6.5% 868 373 $48K
D1120 Dental cleaning, childProphylaxis - child 6.1% 885 871 $45K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 5.6% 643 642 $41K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 3.1% 206 116 $23K
D1206 Topical application of fluoride varnish 3.0% 1,354 1,354 $22K
D0274 Bitewings - four radiographic images 2.8% 1,030 1,025 $20K
D9430 2.8% 642 608 $20K
12 more codes
D0230 Intraoral - periapical each additional radiographic image 2.5% 4,578 $19K
D1208 Topical application of fluoride, excluding varnish 1.5% 727 $11K
D2751 Crown - porcelain fused to predominantly base metal 1.1% 17 $8K
D0220 Intraoral - periapical first radiographic image <1% 602 $7K
D2331 <1% 59 $5K
D4910 <1% 47 $4K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 44 $3K
D2332 <1% 19 $1K
D2330 <1% 19 $1K
D0272 Bitewings - two radiographic images <1% 33 $396.00
D0270 <1% 46 $225.00
D1706 0% 13 $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.

From NPPES

Who's on the registration

Authorized officialLOPEZ, JAVIER (CEO/PRESIDENT)
Same official

Other billing entities under LOPEZ, JAVIER

Full network →
ProviderLocationPaid
Assure Behavioral Services LLCRancho Cucamonga, CA$6.81M
Childrens Therapy CenterMiami, FL$107K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.