Dental
Arevalo, Raquel
Arevalo, Raquel was paid $29K by Medicaid between Jan 2018 and Jun 2018, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.
33Billing provider infoAREVALO, RAQUEL
OXNARD, CA 93030
OXNARD, CA 93030
33aNPI1235346776assigned 05/16/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$29K
24GClaims1,595
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,945 of 2,668
Median peer was paid$173K
This provider vs. median0.2×
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 | 1,595 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 327 | 324 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 365 | 356 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 22% | 437 | 420 | $6K |
| D0272 | Bitewings - two radiographic images | 11% | 328 | 324 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 109 | 107 | $1K |
| D2140 | 3.2% | 17 | 12 | $928.20 | |
| D1110 | Prophylaxis - adult | 1.5% | 12 | 12 | $440.00 |
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.