Dental
Arjona, Lisneida
Arjona, Lisneida was paid $704K by Medicaid between Jan 2018 and Sep 2023, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoARJONA, LISNEIDA
HARTSDALE, NY 10530
HARTSDALE, NY 10530
33aNPI1134449259assigned 06/11/2010
33bProvider typePediatric Dentist
28Total paid$704K
24GClaims30,593
24DCodes billed22
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#138 of 514
Median peer was paid$196K
This provider vs. median3.6×
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 | 11,496 | $275K | |
| 2019 | 9,405 | $215K | |
| 2020 | 3,705 | $79K | |
| 2021 | 5,643 | $129K | |
| 2022 | 12 | $295.00 | |
| 2023 | 332 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 3,704 | 3,704 | $165K |
| D1206 | Topical application of fluoride varnish | 16% | 3,607 | 3,607 | $113K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 3,246 | 3,246 | $81K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 1,134 | 729 | $79K |
| D1351 | Sealant - per tooth | 10% | 3,525 | 946 | $71K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.2% | 1,477 | 1,439 | $36K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.4% | 567 | 419 | $31K |
| D0603 | 3.3% | 2,323 | 2,323 | $23K | |
| D0272 | Bitewings - two radiographic images | 3.0% | 2,096 | 2,095 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 3,061 | 3,061 | $15K |
| D1353 | 2.1% | 1,460 | 368 | $15K | |
| D9920 | 1.4% | 400 | 396 | $10K |
10 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 2,835 | $9K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.1% | 79 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 148 | $7K |
| D0140 | Limited oral evaluation - problem focused | <1% | 131 | $6K |
| D0274 | Bitewings - four radiographic images | <1% | 386 | $5K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 120 | $3K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 34 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 65 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 132 | $2K |
| D0601 | <1% | 63 | $630.00 |
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.