Dental
Bristol Martir, Brendaliz
Bristol Martir, Brendaliz was paid $176K by Medicaid between Jan 2018 and Mar 2020, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 21% of everything it billed.
33Billing provider infoBRISTOL MARTIR, BRENDALIZ
VINELAND, NJ 08360
VINELAND, NJ 08360
33aNPI1356697361assigned 07/27/2012
33bProvider typeDentist
28Total paid$176K
24GClaims5,475
24DCodes billed12
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Dentist providers in New Jersey
Rank by total paid#170 of 674
Median peer was paid$27K
This provider vs. median6.5×
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 | 2,761 | $88K | |
| 2019 | 2,356 | $76K | |
| 2020 | 358 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 828 | 828 | $37K |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 811 | 811 | $36K |
| D0272 | Bitewings - two radiographic images | 12% | 630 | 630 | $21K |
| D1351 | Sealant - per tooth | 9.3% | 363 | 138 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | 8.3% | 587 | 587 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 6.1% | 711 | 705 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.0% | 675 | 673 | $11K |
| D1206 | Topical application of fluoride varnish | 4.1% | 225 | 225 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.9% | 62 | 29 | $7K |
| D9920 | 3.7% | 98 | 88 | $6K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 202 | 184 | $5K |
| D0603 | 1.6% | 283 | 283 | $3K |
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.