Dental
LA Costa of Port Arthur PA
LA Costa of Port Arthur PA was paid $526K by Medicaid between Oct 2020 and Dec 2024, across 20 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 17% of everything it billed.
33Billing provider infoLA COSTA OF PORT ARTHUR PA
PORT ARTHUR, TX 77640
PORT ARTHUR, TX 77640
33aNPI1942656509assigned 05/12/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$526K
24GClaims21,643
24DCodes billed20
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#512 of 2,774
Median peer was paid$43K
This provider vs. median12×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PHAN, TIEN controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2020 | 1,055 | $33K | |
| 2021 | 5,305 | $125K | |
| 2022 | 5,207 | $134K | |
| 2023 | 5,322 | $123K | |
| 2024incomplete | 4,754 | $111K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 17% | 751 | 736 | $92K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 3,235 | 3,200 | $89K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 2,505 | 2,483 | $86K |
| D1110 | Prophylaxis - adult | 11% | 1,136 | 1,126 | $57K |
| D1208 | Topical application of fluoride, excluding varnish | 9.5% | 3,615 | 3,582 | $50K |
| D0274 | Bitewings - four radiographic images | 7.8% | 1,411 | 1,394 | $41K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.6% | 353 | 101 | $35K |
| D0272 | Bitewings - two radiographic images | 4.1% | 1,007 | 999 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 607 | 602 | $19K |
| D1351 | Sealant - per tooth | 2.5% | 526 | 93 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 773 | 763 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 655 | 554 | $6K |
8 more codes
| D0330 | Panoramic radiographic image | <1% | 160 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 40 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 136 | $2K |
| D0350 | <1% | 89 | $847.52 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 13 | $325.32 |
| D0603 | <1% | 2,570 | $0.46 | |
| D0601 | <1% | 1,922 | $0.01 | |
| D0602 | 0% | 139 | $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 officialPHAN, TIEN (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Access Dental of Rundberg | Austin, TX | $3.69M |
| Access Dental of Ed Bluestein PA | Austin, TX | $2.50M |
| Access Dental of William Cannon PA | Austin, TX | $1.69M |
| LA Costa Dental of Kostoryz PA | Corpus Christi, TX | $1.62M |
| LA Costa Dental of Leopard PA | Corpus Christi, TX | $1.32M |
| Access Dental of Zarzamora PA | San Antonio, TX | $1.17M |
| LA Costa Dental of Ayers PA | Corpus Christi, TX | $1.11M |
| Access Dental of 7TH Street | Austin, TX | $1.06M |
| LA Costa of Beaumont PA | Beaumont, TX | $650K |
| Access Dental of White, P.A. | San Antonio, TX | $564K |
| Access Dental of Meadowbrook | Fort Worth, TX | $549K |
| Access Dental of Pleasanton, P.A. | San Antonio, TX | $377K |
| Access Dental of Fredericksburg PA | San Antonio, TX | $356K |
| Access Dental of Trawood PLLC | El Paso, TX | $349K |
| Access Dental of Valley Mills PA | Waco, TX | $291K |
| Access Dental of Saginaw | Saginaw, TX | $281K |
| Access Dental of Park Lake PA | Waco, TX | $209K |
| Access Dental of Haltom City | Haltom City, TX | $140K |
| Access Dental of El Paso PLLC | El Paso, TX | $122K |
| Access Dental of Lake June | Dallas, TX | $115K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.