Calderon, Mike

Calderon, Mike was paid $114K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 47% of everything it billed.

33Billing provider infoCALDERON, MIKE
WEST ISLIP, NY 11795

33aNPI1376683714assigned 02/07/2007

33bProvider typeDentist

28Total paid$114K

24GClaims4,241

24DCodes billed10

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Dentist providers in New York

Rank by total paid#595 of 1,649

Median peer was paid$49K

This provider vs. median2.3×

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
2018	598	$15K
2019	846	$19K
2020	886	$25K
2021	789	$22K
2022	745	$21K
2023	304	$9K
2024incomplete	73	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	47%	1,441	1,440	$53K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	1,258	1,257	$23K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	16%	258	126	$18K
D0272	Bitewings - two radiographic images	7.4%	793	793	$8K
D0210	Intraoral - complete series of radiographic images	2.8%	89	89	$3K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	2.1%	40	27	$2K
D0150	Comprehensive oral evaluation - new or established patient	1.8%	107	107	$2K
D0140	Limited oral evaluation - problem focused	1.3%	117	117	$1K
D0220	Intraoral - periapical first radiographic image	<1%	103	103	$765.91
D0274	Bitewings - four radiographic images	<1%	35	35	$659.18

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.