Dental
Renteria, Klarissa
Renteria, Klarissa was paid $16K by Medicaid between Jun 2023 and Apr 2024, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.
33Billing provider infoRENTERIA, KLARISSA
WESLACO, TX 78596
WESLACO, TX 78596
33aNPI1144606997assigned 08/04/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$16K
24GClaims1,156
24DCodes billed8
24AFirst – last monthJun 2023 – Apr 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,721 of 2,774
Median peer was paid$43K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2023 | 861 | $12K | |
| 2024incomplete | 295 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 187 | 174 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 18% | 216 | 203 | $3K |
| D1110 | Prophylaxis - adult | 13% | 44 | 40 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 13% | 200 | 186 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 194 | 177 | $2K |
| D0274 | Bitewings - four radiographic images | 9.8% | 64 | 56 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.0% | 14 | 13 | $477.75 |
| D0603 | 0% | 237 | 224 | $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.