Dental
Jimenez, Sylvia
Jimenez, Sylvia was paid $0.00 by Medicaid between Aug 2024 and Nov 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 0% of everything it billed.
33Billing provider infoJIMENEZ, SYLVIA
CLACKAMAS, OR 97086
CLACKAMAS, OR 97086
33aNPI1366564825assigned 04/04/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$0.00
24GClaims161
24DCodes billed8
24AFirst – last monthAug 2024 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#281 of 311
Median peer was paid$6K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 161 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 0% | 12 | 12 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 50 | 47 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 12 | 12 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 13 | 13 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 21 | 13 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 26 | 26 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 15 | 15 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 12 | 12 | $0.00 |
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.