Dental
Canallatos, Jessica
Canallatos, Jessica was paid $7K by Medicaid between Aug 2019 and Jul 2020, across 4 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 73% of everything it billed.
33Billing provider infoCANALLATOS, JESSICA
BUFFALO, NY 14215
BUFFALO, NY 14215
33aNPI1326492208assigned 04/18/2016
33bProvider typeProsthodontist
28Total paid$7K
24GClaims216
24DCodes billed4
24AFirst – last monthAug 2019 – Jul 2020
Compared with peers
Next to other Prosthodontist providers in New York
Rank by total paid#10 of 15
Median peer was paid$12K
This provider vs. median0.6×
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 | 90 | $3K | |
| 2020 | 126 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 73% | 98 | 52 | $5K |
| D0140 | Limited oral evaluation - problem focused | 11% | 61 | 61 | $828.60 |
| D0330 | Panoramic radiographic image | 8.2% | 17 | 17 | $609.90 |
| D0220 | Intraoral - periapical first radiographic image | 7.3% | 40 | 40 | $540.75 |
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.