Dental
Falemban, Mounika
Falemban, Mounika was paid $33K by Medicaid between Jan 2020 and Mar 2020, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 59% of everything it billed.
33Billing provider infoFALEMBAN, MOUNIKA
GIBSONTON, FL 33534
GIBSONTON, FL 33534
33aNPI1144472713assigned 10/15/2008
33bProvider typeDentist
28Total paid$33K
24GClaims1,872
24DCodes billed15
24AFirst – last monthJan 2020 – Mar 2020
Compared with peers
Next to other Dentist providers in Florida
Rank by total paid#250 of 542
Median peer was paid$25K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2020 | 1,872 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 59% | 245 | 239 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 20% | 69 | 69 | $7K |
| D1351 | Sealant - per tooth | 11% | 219 | 59 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.0% | 23 | 12 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.4% | 35 | 18 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 59 | 58 | $270.57 |
| D0272 | Bitewings - two radiographic images | <1% | 183 | 179 | $26.76 |
| D1330 | <1% | 307 | 301 | $3.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 60 | 59 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 265 | 259 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 46 | 46 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 17 | 17 | $0.00 |
3 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.