Dental
Melendez-Boria, Rafael
Melendez-Boria, Rafael was paid $263.25 by Medicaid between Mar 2018 and Apr 2023, across 2 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 56% of everything it billed.
33Billing provider infoMELENDEZ-BORIA, RAFAEL
CAMDEN, NJ 08103
CAMDEN, NJ 08103
33aNPI1396836821assigned 09/28/2006
33bProvider typeDentist
28Total paid$263.25
24GClaims62
24DCodes billed2
24AFirst – last monthMar 2018 – Apr 2023
Compared with peers
Next to other Dentist providers in New Jersey
Rank by total paid#637 of 674
Median peer was paid$27K
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 | |
|---|---|---|---|
| 2018 | 38 | $173.25 | |
| 2021 | 12 | $45.00 | |
| 2023 | 12 | $45.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 56% | 50 | 50 | $146.25 |
| D1120 | Dental cleaning, childProphylaxis - child | 44% | 12 | 12 | $117.00 |
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.