Dental
Angeles, Jose
Angeles, Jose was paid $11K by Medicaid between Aug 2018 and Oct 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 40% of everything it billed.
33Billing provider infoANGELES, JOSE
FAR ROCKAWAY, NY 11691
FAR ROCKAWAY, NY 11691
33aNPI1124246590assigned 04/23/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$11K
24GClaims718
24DCodes billed6
24AFirst – last monthAug 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#1,555 of 2,184
Median peer was paid$54K
This provider vs. median0.2×
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 | 15 | $340.74 | |
| 2023 | 172 | $2K | |
| 2024incomplete | 531 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 40% | 215 | 215 | $4K |
| D1110 | Prophylaxis - adult | 17% | 44 | 44 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 15% | 163 | 162 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 14% | 214 | 212 | $1K |
| D0274 | Bitewings - four radiographic images | 13% | 70 | 70 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 1.2% | 12 | 12 | $132.30 |
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.