Palacios, Ana

Palacios, Ana was paid $62K by Medicaid between Jan 2019 and Dec 2023, across 13 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 31% of everything it billed.

33Billing provider infoPALACIOS, ANA
ELK GROVE, CA 95757

33aNPI1295925717assigned 07/31/2007

33bProvider typeDentist

28Total paid$62K

24GClaims2,997

24DCodes billed13

24AFirst – last monthJan 2019 – Dec 2023

Compared with peers

Next to other Dentist providers in California

Rank by total paid#1,504 of 2,314

Median peer was paid$185K

This provider vs. median0.3×

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	129	$1K
2020	371	$3K
2021	329	$10K
2022	1,415	$35K
2023	753	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	31%	347	130	$19K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	28%	467	216	$17K
D0330	Panoramic radiographic image	20%	337	334	$12K
D1110	Prophylaxis - adult	9.3%	238	236	$6K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.3%	278	150	$3K
D0150	Comprehensive oral evaluation - new or established patient	3.1%	406	403	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.1%	60	58	$1K
D0350		1.1%	147	31	$684.00
D1208	Topical application of fluoride, excluding varnish	<1%	281	276	$449.33
D0274	Bitewings - four radiographic images	<1%	95	90	$339.73
D0230	Intraoral - periapical each additional radiographic image	<1%	109	76	$88.51
D0220	Intraoral - periapical first radiographic image	<1%	104	98	$41.23

1 more codes

D1330

<1%

128

$30.00

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.