Carbajal, M

Carbajal, M was paid $6K by Medicaid between Mar 2019 and Sep 2020, across 3 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 40% of everything it billed.

33Billing provider infoCARBAJAL, M
ONTARIO, CA 91762

33aNPI1194777532assigned 05/16/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$6K

24GClaims116

24DCodes billed3

24AFirst – last monthMar 2019 – Sep 2020

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#2,269 of 2,668

Median peer was paid$173K

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
2019	50	$3K
2020	66	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	40%	39	39	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	33%	39	13	$2K
D0210	Intraoral - complete series of radiographic images	27%	38	38	$2K

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.