Dental
Martin, Elmezen
Martin, Elmezen was paid $53K by Medicaid between Jan 2018 and Dec 2021, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 84% of everything it billed.
33Billing provider infoMARTIN, ELMEZEN
LAKEPORT, CA 95453
LAKEPORT, CA 95453
33aNPI1033431630assigned 02/23/2010
33bProvider typeDental Hygienist
28Total paid$53K
24GClaims1,119
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Dental Hygienist providers in California
Rank by total paid#57 of 105
Median peer was paid$72K
This provider vs. median0.7×
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 | 415 | $15K | |
| 2019 | 414 | $22K | |
| 2020 | 136 | $7K | |
| 2021 | 154 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 84% | 556 | 556 | $44K |
| D1206 | Topical application of fluoride varnish | 16% | 563 | 563 | $9K |
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.