Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Mapanao, Mignon

Mapanao, Mignon was paid $137K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 24% of everything it billed.

33Billing provider infoMAPANAO, MIGNON
ROCKLIN, CA 95765
33aNPI1447431333assigned 11/19/2007
33bProvider typeDentist
28Total paid$137K
24GClaims5,182
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Dentist providers in California

Rank by total paid#1,264 of 2,314
Median peer was paid$185K
This provider vs. median0.7×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20181,904$41K
20191,116$35K
2020651$20K
2021734$17K
2022333$10K
2023312$10K
2024incomplete132$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 24% 583 577 $33K
D1110 Prophylaxis - adult 20% 355 354 $28K
D1120 Dental cleaning, childProphylaxis - child 17% 734 726 $23K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 13% 422 418 $18K
D0210 Intraoral - complete series of radiographic images 9.4% 287 287 $13K
D1206 Topical application of fluoride varnish 5.1% 468 468 $7K
D0230 Intraoral - periapical each additional radiographic image 4.2% 1,517 839 $6K
D1208 Topical application of fluoride, excluding varnish 4.2% 644 635 $6K
D0274 Bitewings - four radiographic images 2.2% 142 142 $3K
D0272 Bitewings - two radiographic images <1% 30 29 $277.50

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.