Dental
Guerrettaz, Deidre
Guerrettaz, Deidre was paid $839.92 by Medicaid between Aug 2018 and Nov 2019, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 48% of everything it billed.
33Billing provider infoGUERRETTAZ, DEIDRE
INDPLS, IN 46205
INDPLS, IN 46205
33aNPI1164586269assigned 12/21/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$839.92
24GClaims66
24DCodes billed3
24AFirst – last monthAug 2018 – Nov 2019
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#643 of 723
Median peer was paid$60K
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 | 40 | $303.90 | |
| 2019 | 26 | $536.02 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 48% | 34 | 24 | $404.17 |
| D1206 | Topical application of fluoride varnish | 29% | 13 | 12 | $244.75 |
| D1110 | Prophylaxis - adult | 23% | 19 | 12 | $191.00 |
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.