Dental
Mendez-Ceballos, Milca
Mendez-Ceballos, Milca was paid $52K by Medicaid between Jul 2021 and Nov 2021, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoMENDEZ-CEBALLOS, MILCA
EPHRATA, PA 17522
EPHRATA, PA 17522
33aNPI1023671906assigned 04/17/2019
33bProvider typePediatric Dentist
28Total paid$52K
24GClaims1,811
24DCodes billed15
24AFirst – last monthJul 2021 – Nov 2021
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#147 of 237
Median peer was paid$109K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2021 | 1,811 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 342 | 342 | $13K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 364 | 364 | $9K |
| D1206 | Topical application of fluoride varnish | 18% | 415 | 415 | $9K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.9% | 85 | 82 | $5K |
| D1110 | Prophylaxis - adult | 7.7% | 87 | 87 | $4K |
| D0274 | Bitewings - four radiographic images | 4.4% | 73 | 73 | $2K |
| D0272 | Bitewings - two radiographic images | 3.8% | 98 | 97 | $2K |
| D0240 | 3.2% | 111 | 67 | $2K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 55 | 55 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.8% | 17 | 15 | $1K |
| D1351 | Sealant - per tooth | 2.7% | 44 | 13 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 79 | 77 | $743.00 |
3 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.