Dental
Olvera, Melissa
Olvera, Melissa was paid $140K by Medicaid between Jan 2018 and Mar 2020, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.
33Billing provider infoOLVERA, MELISSA
ROLLA, MO 65401
ROLLA, MO 65401
33aNPI1194957779assigned 08/17/2009
33bProvider typeDentist
28Total paid$140K
24GClaims5,512
24DCodes billed21
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Dentist providers in Missouri
Rank by total paid#127 of 284
Median peer was paid$109K
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 | |
|---|---|---|---|
| 2018 | 4,621 | $123K | |
| 2019 | 334 | $6K | |
| 2020 | 557 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 22% | 472 | 248 | $30K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.6% | 140 | 65 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | 7.4% | 224 | 95 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.1% | 367 | 333 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.6% | 377 | 348 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.5% | 101 | 68 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.5% | 961 | 601 | $8K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 5.4% | 127 | 60 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.6% | 175 | 165 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 4.4% | 712 | 664 | $6K |
| D1206 | Topical application of fluoride varnish | 4.3% | 465 | 426 | $6K |
| D3120 | 3.8% | 223 | 130 | $5K |
9 more codes
| D1351 | Sealant - per tooth | 3.2% | 285 | $4K |
| D0330 | Panoramic radiographic image | 2.7% | 124 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 148 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 63 | $3K |
| D1110 | Prophylaxis - adult | 1.9% | 96 | $3K |
| D0274 | Bitewings - four radiographic images | 1.8% | 125 | $2K |
| D0272 | Bitewings - two radiographic images | 1.8% | 183 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 1.4% | 125 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 19 | $446.00 |
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.