Calderon, Marcelo

Calderon, Marcelo was paid $264K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.

33Billing provider infoCALDERON, MARCELO
SOUTH OZONE PARK, NY 11420

33aNPI1467677054assigned 04/17/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$264K

24GClaims10,174

24DCodes billed16

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#519 of 2,184

Median peer was paid$54K

This provider vs. median4.9×

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	700	$14K
2019	789	$15K
2020	1,102	$29K
2021	1,627	$45K
2022	1,539	$37K
2023	2,019	$47K
2024incomplete	2,398	$76K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	27%	1,918	1,918	$71K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	2,276	2,276	$47K
D0274	Bitewings - four radiographic images	12%	1,574	1,574	$32K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	12%	438	306	$32K
D0210	Intraoral - complete series of radiographic images	11%	978	968	$30K
D0220	Intraoral - periapical first radiographic image	4.4%	1,226	1,207	$12K
D2750		3.9%	21	12	$10K
D0150	Comprehensive oral evaluation - new or established patient	3.0%	355	355	$8K
D1208	Topical application of fluoride, excluding varnish	2.3%	543	543	$6K
D2954		1.6%	37	26	$4K
D0230	Intraoral - periapical each additional radiographic image	1.4%	530	529	$4K
D0330	Panoramic radiographic image	<1%	97	97	$2K

4 more codes

D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	51	$2K
D1120	Dental cleaning, child	<1%	42	$1K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	23	$739.50
D0140	Limited oral evaluation - problem focused	<1%	65	$681.34

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.