Dental
Matracia, Yoon-Mi
Matracia, Yoon-Mi was paid $18K by Medicaid between Jan 2018 and Sep 2020, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.
33Billing provider infoMATRACIA, YOON-MI
DUBLIN, OH 43017
DUBLIN, OH 43017
33aNPI1003011123assigned 06/19/2007
33bProvider typePediatric Dentist
28Total paid$18K
24GClaims1,149
24DCodes billed8
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Pediatric Dentist providers in Ohio
Rank by total paid#109 of 144
Median peer was paid$140K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2018 | 498 | $7K | |
| 2019 | 227 | $2K | |
| 2020 | 424 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 369 | 352 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 281 | 265 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 21% | 286 | 271 | $4K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 8.5% | 28 | 12 | $2K |
| D1351 | Sealant - per tooth | 6.9% | 56 | 16 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 28 | 28 | $711.45 |
| D0272 | Bitewings - two radiographic images | 3.9% | 74 | 74 | $700.00 |
| D0240 | 1.7% | 27 | 14 | $306.36 |
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.