Dental
Diaz-Vidal, Natasha
Diaz-Vidal, Natasha was paid $166K by Medicaid between Jan 2018 and Aug 2019, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 31% of everything it billed.
33Billing provider infoDIAZ-VIDAL, NATASHA
SUGAR HILL, GA 30518
SUGAR HILL, GA 30518
33aNPI1063870988assigned 02/05/2016
33bProvider typePediatric Dentist
28Total paid$166K
24GClaims6,862
24DCodes billed16
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers
Next to other Pediatric Dentist providers in Georgia
Rank by total paid#15 of 38
Median peer was paid$58K
This provider vs. median2.9×
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 | 5,097 | $126K | |
| 2019 | 1,765 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 31% | 1,240 | 1,240 | $51K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 1,118 | 1,118 | $31K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 1,369 | 1,369 | $18K |
| D0272 | Bitewings - two radiographic images | 9.1% | 938 | 938 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.0% | 983 | 979 | $12K |
| D1351 | Sealant - per tooth | 5.0% | 199 | 60 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.4% | 98 | 58 | $6K |
| D0240 | 3.1% | 328 | 328 | $5K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.5% | 38 | 29 | $4K |
| D1110 | Prophylaxis - adult | 1.8% | 55 | 55 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 1.8% | 49 | 32 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | 1.7% | 97 | 97 | $3K |
4 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.