Dental
Peralta Lee, Johnny
Peralta Lee, Johnny was paid $143K by Medicaid between Jul 2020 and Feb 2024, across 12 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 68% of everything it billed.
33Billing provider infoPERALTA LEE, JOHNNY
MIAMI LAKES, FL 33014
MIAMI LAKES, FL 33014
33aNPI1396179701assigned 08/22/2013
33bProvider typeDentist
28Total paid$143K
24GClaims6,211
24DCodes billed12
24AFirst – last monthJul 2020 – Feb 2024
Compared with peers
Next to other Dentist providers in Florida
Rank by total paid#149 of 542
Median peer was paid$25K
This provider vs. median5.6×
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 | |
|---|---|---|---|
| 2020 | 12 | $783.31 | |
| 2021 | 38 | $1K | |
| 2022 | 3,714 | $112K | |
| 2023 | 1,439 | $19K | |
| 2024incomplete | 1,008 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 68% | 1,177 | 148 | $96K |
| D0330 | Panoramic radiographic image | 15% | 592 | 514 | $21K |
| D1110 | Prophylaxis - adult | 7.4% | 675 | 598 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.8% | 617 | 142 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 608 | 528 | $3K |
| D2332 | 1.7% | 1,269 | 137 | $2K | |
| D1330 | <1% | 726 | 653 | $145.85 | |
| D0274 | Bitewings - four radiographic images | <1% | 158 | 119 | $102.90 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 31 | 13 | $93.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 158 | 118 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 14 | 14 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 186 | 141 | $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.