Matos-Perrotte, Virginia

Matos-Perrotte, Virginia was paid $306.75 by Medicaid between Feb 2018 and Apr 2018, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 34% of everything it billed.

33Billing provider infoMATOS-PERROTTE, VIRGINIA
NEW BRUNSWICK, NJ 08901

33aNPI1144202110assigned 11/16/2005

33bProvider typeDentist

28Total paid$306.75

24GClaims76

24DCodes billed4

24AFirst – last monthFeb 2018 – Apr 2018

Compared with peers

Next to other Dentist providers in New Jersey

Rank by total paid#629 of 674

Median peer was paid$27K

This provider vs. median0.0×

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	76	$306.75

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	34%	14	14	$104.00
D1120	Dental cleaning, childProphylaxis - child	30%	14	14	$91.00
D0220	Intraoral - periapical first radiographic image	26%	34	34	$78.75
D0230	Intraoral - periapical each additional radiographic image	11%	14	14	$33.00

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.