Dental
Escobedo, Carolina
Escobedo, Carolina was paid $67K by Medicaid between Feb 2018 and Sep 2020, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoESCOBEDO, CAROLINA
ST PETERSBURG, FL 33716
ST PETERSBURG, FL 33716
33aNPI1265838494assigned 11/17/2014
33bProvider typeDentist
28Total paid$67K
24GClaims2,662
24DCodes billed17
24AFirst – last monthFeb 2018 – Sep 2020
Compared with peers
Next to other Dentist providers in Florida
Rank by total paid#206 of 542
Median peer was paid$25K
This provider vs. median2.7×
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 | 2,122 | $57K | |
| 2019 | 333 | $6K | |
| 2020 | 207 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 490 | 489 | $18K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 110 | 40 | $8K |
| D1351 | Sealant - per tooth | 8.7% | 141 | 44 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.5% | 140 | 30 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 8.0% | 452 | 449 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.8% | 207 | 207 | $5K |
| D1206 | Topical application of fluoride varnish | 7.2% | 196 | 194 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 5.0% | 66 | 39 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.0% | 137 | 136 | $3K |
| D0272 | Bitewings - two radiographic images | 3.5% | 165 | 164 | $2K |
| D0274 | Bitewings - four radiographic images | 3.2% | 85 | 85 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 3.1% | 177 | 177 | $2K |
5 more codes
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.