Ballet, Lourdes

Ballet, Lourdes was paid $376K by Medicaid between Oct 2018 and Oct 2024, across 16 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 29% of everything it billed.

33Billing provider infoBALLET, LOURDES
DELTONA, FL 32725

33aNPI1255517850assigned 01/14/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$376K

24GClaims27,850

24DCodes billed16

24AFirst – last monthOct 2018 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Florida

Rank by total paid#66 of 568

Median peer was paid$24K

This provider vs. median16×

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	120	$3K
2019	147	$2K
2020	3,427	$65K
2021	1,056	$17K
2022	9,276	$98K
2023	8,866	$128K
2024incomplete	4,958	$63K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0210	Intraoral - complete series of radiographic images	29%	2,525	2,167	$111K
D1110	Prophylaxis - adult	21%	3,821	3,268	$78K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	15%	1,467	806	$56K
D0150	Comprehensive oral evaluation - new or established patient	9.4%	2,611	2,201	$35K
D1120	Dental cleaning, childProphylaxis - child	7.4%	943	831	$28K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	6.2%	2,485	2,173	$23K
D4355		5.1%	294	252	$19K
D1208	Topical application of fluoride, excluding varnish	2.0%	4,987	4,307	$7K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.1%	188	100	$4K
D0274	Bitewings - four radiographic images	1.1%	2,327	2,021	$4K
D1351	Sealant - per tooth	<1%	376	66	$4K
D9310		<1%	473	202	$2K

4 more codes

D1330		<1%	5,043	$2K
D0140	Limited oral evaluation - problem focused	<1%	99	$1K
D9110		<1%	47	$639.96
D0220	Intraoral - periapical first radiographic image	<1%	164	$518.31

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.