Dental
Capota, Daiana
Capota, Daiana was paid $32K by Medicaid between Mar 2019 and Sep 2019, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoCAPOTA, DAIANA
MUSKEGON, MI 49444
MUSKEGON, MI 49444
33aNPI1043705171assigned 07/01/2018
33bProvider typeDentist
28Total paid$32K
24GClaims889
24DCodes billed12
24AFirst – last monthMar 2019 – Sep 2019
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#422 of 1,033
Median peer was paid$15K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2019 | 889 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 24% | 63 | 32 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 131 | 131 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 136 | 136 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 9.8% | 138 | 137 | $3K |
| D1110 | Prophylaxis - adult | 9.2% | 62 | 62 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.2% | 27 | 14 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.2% | 52 | 52 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 5.1% | 102 | 100 | $2K |
| D0274 | Bitewings - four radiographic images | 4.1% | 40 | 40 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 88 | 81 | $748.80 |
| D0272 | Bitewings - two radiographic images | 2.3% | 30 | 30 | $720.00 |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 20 | 20 | $692.00 |
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.