Dental
Ponce, Monica
Ponce, Monica was paid $23K by Medicaid between Jan 2018 and Jan 2019, across 13 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 46% of everything it billed.
33Billing provider infoPONCE, MONICA
LAS VEGAS, NV 89148
LAS VEGAS, NV 89148
33aNPI1174598882assigned 02/17/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$23K
24GClaims1,683
24DCodes billed13
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other General Practice Dentistry providers in Nevada
Rank by total paid#161 of 247
Median peer was paid$54K
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 | |
|---|---|---|---|
| 2018 | 1,641 | $21K | |
| 2019 | 42 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 46% | 313 | 249 | $10K |
| D0140 | Limited oral evaluation - problem focused | 21% | 342 | 225 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.0% | 85 | 68 | $2K |
| D1206 | Topical application of fluoride varnish | 8.9% | 98 | 81 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.5% | 94 | 73 | $1K |
| D1351 | Sealant - per tooth | 5.5% | 63 | 13 | $1K |
| D0330 | Panoramic radiographic image | 1.8% | 135 | 83 | $412.40 |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 123 | 64 | $308.00 |
| D5899 | <1% | 19 | 13 | $20.50 | |
| D9420 | 0% | 26 | 12 | $0.00 | |
| D4355 | 0% | 44 | 20 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 185 | 14 | $0.00 |
1 more codes
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 156 | $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.