Dental
Portalatin, Jaime
Portalatin, Jaime was paid $37K by Medicaid between Mar 2019 and Feb 2020, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 39% of everything it billed.
33Billing provider infoPORTALATIN, JAIME
FISHKILL, NY 12524
FISHKILL, NY 12524
33aNPI1295880730assigned 01/24/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$37K
24GClaims1,484
24DCodes billed10
24AFirst – last monthMar 2019 – Feb 2020
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#1,210 of 2,184
Median peer was paid$54K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2019 | 1,316 | $33K | |
| 2020 | 168 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 39% | 344 | 344 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 280 | 280 | $6K |
| D0274 | Bitewings - four radiographic images | 15% | 261 | 260 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.9% | 147 | 147 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.8% | 304 | 299 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.0% | 45 | 31 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.3% | 19 | 13 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 54 | 51 | $314.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 17 | 17 | $196.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | 13 | $140.00 |
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.