Arritola, Marisela
Arritola, Marisela was paid $40K by Medicaid between Dec 2018 and Jul 2022, across 9 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 44% of everything it billed.
33Billing provider infoARRITOLA, MARISELA
FORT COLLINS, CO 80525
FORT COLLINS, CO 80525
33aNPI1417496548assigned 02/22/2017
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$40K
24GClaims651
24DCodes billed9
24AFirst – last monthDec 2018 – Jul 2022
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Colorado
Rank by total paid#8 of 33
Median peer was paid$7K
This provider vs. median5.7×
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 | 42 | $1K | |
| 2019 | 502 | $34K | |
| 2022 | 107 | $5K |
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 | 44% | 131 | 59 | $18K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13% | 50 | 26 | $5K |
| D1110 | Prophylaxis - adult | 12% | 115 | 105 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 114 | 106 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 54 | 51 | $4K |
| D0140 | Limited oral evaluation - problem focused | 4.9% | 60 | 56 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 86 | 83 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.3% | 24 | 24 | $525.12 |
| D0274 | Bitewings - four radiographic images | 1.2% | 17 | 16 | $483.14 |
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.