Dental
Jimenez, Baltasar
Jimenez, Baltasar was paid $1.35M by Medicaid between Oct 2018 and Dec 2024, across 28 billing codes. Its largest line is D0330, Panoramic radiographic image — 19% of everything it billed.
33Billing provider infoJIMENEZ, BALTASAR
SARASOTA, FL 34238
SARASOTA, FL 34238
33aNPI1104031442assigned 05/11/2007
33bProvider typeDentist
28Total paid$1.35M
24GClaims64,159
24DCodes billed28
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Florida
Rank by total paid#30 of 542
Median peer was paid$25K
This provider vs. median53×
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 | 34 | $1K | |
| 2019 | 78 | $802.08 | |
| 2020 | 5,721 | $150K | |
| 2021 | 2,260 | $58K | |
| 2022 | 21,037 | $455K | |
| 2023 | 20,478 | $457K | |
| 2024incomplete | 14,551 | $223K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 19% | 5,273 | 5,174 | $250K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 14% | 4,646 | 2,072 | $194K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 4,142 | 1,308 | $141K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 9.6% | 1,625 | 639 | $129K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.2% | 4,520 | 4,397 | $110K |
| D2160 | 6.3% | 1,230 | 715 | $85K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 5,139 | 5,042 | $74K |
| D2140 | 5.4% | 5,414 | 2,121 | $73K | |
| D7140 | Extraction, erupted tooth or exposed root | 4.5% | 4,273 | 696 | $60K |
| D1110 | Prophylaxis - adult | 4.4% | 3,095 | 3,040 | $59K |
| D5110 | 2.9% | 111 | 109 | $39K | |
| D4355 | 2.2% | 577 | 571 | $29K |
16 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 2,978 | $24K |
| D1120 | Dental cleaning, child | 1.7% | 2,990 | $23K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 5,709 | $11K |
| D2330 | <1% | 668 | $9K | |
| D5213 | <1% | 14 | $7K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 712 | $6K |
| D1330 | <1% | 8,376 | $6K | |
| D2331 | <1% | 227 | $5K | |
| D5214 | <1% | 14 | $4K | |
| D2161 | <1% | 19 | $3K | |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 99 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 1,976 | $1K |
| D1351 | Sealant - per tooth | <1% | 73 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 207 | $841.77 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 31 | $10.98 |
| D8670 | Periodic orthodontic treatment visit | 0% | 21 | $0.00 |
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.