Dental
J Michael Adame DDS PA
J Michael Adame DDS PA was paid $404K by Medicaid between Nov 2020 and Aug 2023, across 16 billing codes. Its largest line is D0120, dental checkup, returning patient — 15% of everything it billed.
33Billing provider infoJ MICHAEL ADAME DDS PA
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1972690410assigned 10/06/2006
33bProvider typeDentist
28Total paid$404K
24GClaims18,206
24DCodes billed16
24AFirst – last monthNov 2020 – Aug 2023
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#371 of 1,678
Median peer was paid$35K
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.
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 | 863 | $16K | |
| 2021 | 5,712 | $130K | |
| 2022 | 6,592 | $143K | |
| 2023 | 5,039 | $116K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 2,112 | 2,080 | $59K |
| D1110 | Prophylaxis - adult | 14% | 1,053 | 1,039 | $56K |
| D0145 | Oral evaluation for a patient under three years of age | 11% | 332 | 331 | $46K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 1,295 | 1,278 | $46K |
| D1351 | Sealant - per tooth | 9.3% | 1,424 | 230 | $37K |
| D1208 | Topical application of fluoride, excluding varnish | 8.5% | 2,395 | 2,354 | $34K |
| D0274 | Bitewings - four radiographic images | 8.3% | 996 | 983 | $33K |
| D0220 | Intraoral - periapical first radiographic image | 7.0% | 2,314 | 2,272 | $28K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.4% | 2,296 | 2,197 | $26K |
| D0272 | Bitewings - two radiographic images | 6.4% | 1,126 | 1,109 | $26K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 49 | 48 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 96 | 95 | $3K |
4 more codes
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 officialADAME, CORDELIA (OFFICE MANAGER)