Dental
Botana, Manuel
Botana, Manuel was paid $623K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.
33Billing provider infoBOTANA, MANUEL
ROCHESTER, NY 14607
ROCHESTER, NY 14607
33aNPI1053481143assigned 11/08/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$623K
24GClaims18,183
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#253 of 2,184
Median peer was paid$54K
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 | |
|---|---|---|---|
| 2018 | 3,282 | $119K | |
| 2019 | 3,473 | $127K | |
| 2020 | 2,597 | $89K | |
| 2021 | 1,561 | $56K | |
| 2022 | 108 | $4K | |
| 2023 | 2,446 | $76K | |
| 2024incomplete | 4,716 | $152K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 31% | 3,564 | 3,563 | $196K |
| D0274 | Bitewings - four radiographic images | 16% | 2,846 | 2,846 | $100K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 2,670 | 2,670 | $74K |
| D0230 | Intraoral - periapical each additional radiographic image | 10% | 2,913 | 2,911 | $65K |
| D0330 | Panoramic radiographic image | 7.1% | 1,188 | 1,188 | $44K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.7% | 1,205 | 1,205 | $35K |
| D7140 | Extraction, erupted tooth or exposed root | 5.0% | 641 | 330 | $31K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 1,227 | 1,227 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 294 | 209 | $15K |
| D0210 | Intraoral - complete series of radiographic images | 2.3% | 817 | 817 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.0% | 160 | 124 | $12K |
| D2740 | Crown - porcelain/ceramic | 1.6% | 19 | 12 | $10K |
2 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.