Dental
Armendariz, Alonso
Armendariz, Alonso was paid $452K by Medicaid between Nov 2020 and Dec 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoARMENDARIZ, ALONSO
RIO GRANDE CITY, TX 78582
RIO GRANDE CITY, TX 78582
33aNPI1366572901assigned 03/06/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$452K
24GClaims16,965
24DCodes billed14
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#561 of 2,774
Median peer was paid$43K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2020 | 349 | $8K | |
| 2021 | 4,740 | $127K | |
| 2022 | 4,649 | $130K | |
| 2023 | 3,972 | $104K | |
| 2024incomplete | 3,255 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 2,067 | 2,056 | $110K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 3,171 | 3,158 | $89K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 16% | 979 | 589 | $72K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,485 | 1,479 | $54K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 3,458 | 3,444 | $51K |
| D0274 | Bitewings - four radiographic images | 9.5% | 1,264 | 1,260 | $43K |
| D0272 | Bitewings - two radiographic images | 3.9% | 767 | 764 | $18K |
| D0210 | Intraoral - complete series of radiographic images | 2.1% | 140 | 140 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 137 | 134 | $5K |
| D0330 | Panoramic radiographic image | <1% | 12 | 12 | $550.62 |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | 12 | $263.05 |
| D0602 | 0% | 1,191 | 1,185 | $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.