Visic, Kristina

Visic, Kristina was paid $77K by Medicaid between Feb 2018 and Feb 2019, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.

33Billing provider infoVISIC, KRISTINA
SANTA CRUZ, CA 95060

33aNPI1477895191assigned 03/20/2013

33bProvider typeGeneral Practice Dentistry

28Total paid$77K

24GClaims2,365

24DCodes billed11

24AFirst – last monthFeb 2018 – Feb 2019

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#1,653 of 2,668

Median peer was paid$173K

This provider vs. median0.4×

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	2,062	$67K
2019	303	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	34%	487	487	$26K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	20%	573	573	$16K
D0274	Bitewings - four radiographic images	17%	344	344	$13K
D1120	Dental cleaning, childProphylaxis - child	8.1%	153	153	$6K
D1208	Topical application of fluoride, excluding varnish	4.6%	249	249	$4K
D0220	Intraoral - periapical first radiographic image	4.5%	247	245	$3K
D0330	Panoramic radiographic image	3.7%	65	65	$3K
D0140	Limited oral evaluation - problem focused	3.5%	158	158	$3K
D0150	Comprehensive oral evaluation - new or established patient	2.1%	57	57	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.1%	20	13	$2K
D9110		<1%	12	12	$342.00

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.