Pelaez, Magnolia

Pelaez, Magnolia was paid $2K by Medicaid between Apr 2018 and Nov 2018, across 4 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 46% of everything it billed.

33Billing provider infoPELAEZ, MAGNOLIA
ATLANTIC CITY, NJ 08401

33aNPI1245293984assigned 04/11/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims114

24DCodes billed4

24AFirst – last monthApr 2018 – Nov 2018

Compared with peers

Next to other General Practice Dentistry providers in New Jersey

Rank by total paid#654 of 790

Median peer was paid$43K

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
2018	114	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	46%	46	46	$795.00
D0330	Panoramic radiographic image	30%	38	38	$520.00
D1110	Prophylaxis - adult	14%	18	18	$240.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	10%	12	12	$175.00

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.