Vasquez, Diane

Vasquez, Diane was paid $24K by Medicaid between Jan 2018 and May 2018, across 10 billing codes. Its largest line is D0330, Panoramic radiographic image — 26% of everything it billed.

33Billing provider infoVASQUEZ, DIANE
HIGH RIDGE, MO 63049

33aNPI1427434190assigned 08/05/2015

33bProvider typeGeneral Practice Dentistry

28Total paid$24K

24GClaims872

24DCodes billed10

24AFirst – last monthJan 2018 – May 2018

Compared with peers

Next to other General Practice Dentistry providers in Missouri

Rank by total paid#182 of 260

Median peer was paid$78K

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
2018	872	$24K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0330	Panoramic radiographic image	26%	145	130	$6K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	24%	119	70	$6K
D1110	Prophylaxis - adult	12%	92	83	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	8.9%	131	121	$2K
D0150	Comprehensive oral evaluation - new or established patient	8.9%	84	78	$2K
D0274	Bitewings - four radiographic images	6.9%	92	86	$2K
D1208	Topical application of fluoride, excluding varnish	4.7%	76	70	$1K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.0%	21	13	$957.61
D1120	Dental cleaning, childProphylaxis - child	2.6%	31	30	$617.00
D0220	Intraoral - periapical first radiographic image	1.5%	81	70	$353.50

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.