Herrera, Marcela

Herrera, Marcela was paid $53K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.

33Billing provider infoHERRERA, MARCELA
FLOURTOWN, PA 19031

33aNPI1215180195assigned 10/23/2008

33bProvider typePediatric Dentist

28Total paid$53K

24GClaims2,229

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Dentist providers in Pennsylvania

Rank by total paid#145 of 237

Median peer was paid$109K

This provider vs. median0.5×

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	536	$13K
2019	220	$5K
2020	117	$3K
2021	500	$14K
2023	45	$1K
2024incomplete	811	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	32%	528	525	$17K
D1206	Topical application of fluoride varnish	28%	737	732	$15K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	641	638	$14K
D0272	Bitewings - two radiographic images	5.2%	143	142	$3K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	3.8%	42	40	$2K
D0274	Bitewings - four radiographic images	1.7%	32	31	$917.00
D1310		1.0%	50	50	$536.00
D1110	Prophylaxis - adult	<1%	13	13	$460.00
D1330		<1%	43	43	$430.00

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.