Dental
Loo, Milagros
Loo, Milagros was paid $58K by Medicaid between Apr 2022 and Nov 2024, across 11 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 41% of everything it billed.
33Billing provider infoLOO, MILAGROS
BALDWIN PARK, CA 91706
BALDWIN PARK, CA 91706
33aNPI1417140047assigned 08/27/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$58K
24GClaims1,375
24DCodes billed11
24AFirst – last monthApr 2022 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,743 of 2,668
Median peer was paid$173K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2022 | 13 | $792.00 | |
| 2023 | 43 | $2K | |
| 2024incomplete | 1,319 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 41% | 356 | 99 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 160 | 160 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12% | 134 | 35 | $7K |
| D9210 | 12% | 183 | 124 | $7K | |
| D0210 | Intraoral - complete series of radiographic images | 8.1% | 98 | 98 | $5K |
| D1320 | 3.6% | 126 | 126 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 223 | 59 | $886.95 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.4% | 18 | 17 | $825.00 |
| D0350 | <1% | 52 | 13 | $499.20 | |
| D9430 | <1% | 12 | 12 | $384.00 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 13 | 13 | $178.00 |
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.