Mabansag, Lalaine

Mabansag, Lalaine was paid $42K by Medicaid between Feb 2018 and Jul 2024, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 52% of everything it billed.

33Billing provider infoMABANSAG, LALAINE
PANORAMA CITY, CA 91402

33aNPI1447504212assigned 11/01/2012

33bProvider typeGeneral Practice Dentistry

28Total paid$42K

24GClaims2,071

24DCodes billed8

24AFirst – last monthFeb 2018 – Jul 2024

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#1,840 of 2,668

Median peer was paid$173K

This provider vs. median0.2×

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	319	$4K
2019	472	$7K
2020	65	$2K
2021	242	$4K
2022	264	$9K
2023	349	$9K
2024incomplete	360	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	52%	378	378	$22K
D1208	Topical application of fluoride, excluding varnish	19%	670	669	$8K
D1120	Dental cleaning, childProphylaxis - child	13%	136	136	$5K
D0230	Intraoral - periapical each additional radiographic image	6.6%	696	250	$3K
D1110	Prophylaxis - adult	2.8%	13	13	$1K
D0350		2.7%	123	37	$1K
D0274	Bitewings - four radiographic images	2.1%	42	42	$907.20
D0210	Intraoral - complete series of radiographic images	1.5%	13	13	$624.00

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.