Dental
Ibarra, Lorena
Ibarra, Lorena was paid $68K by Medicaid between Nov 2018 and Jan 2023, across 25 billing codes. Its largest line is D1120, dental cleaning, child — 34% of everything it billed.
33Billing provider infoIBARRA, LORENA
SALEM, OR 97301
SALEM, OR 97301
33aNPI1477932713assigned 05/19/2015
33bProvider typePediatric Dentist
28Total paid$68K
24GClaims23,174
24DCodes billed25
24AFirst – last monthNov 2018 – Jan 2023
Compared with peers
Next to other Pediatric Dentist providers in Oregon
Rank by total paid#83 of 109
Median peer was paid$362K
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 | 268 | $0.00 | |
| 2019 | 7,566 | $0.00 | |
| 2020 | 7,768 | $293.81 | |
| 2021 | 6,035 | $48K | |
| 2022 | 1,426 | $19K | |
| 2023 | 111 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 34% | 2,429 | 2,297 | $23K |
| D1206 | Topical application of fluoride varnish | 16% | 2,659 | 2,481 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 1,955 | 1,787 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.9% | 596 | 558 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.7% | 395 | 190 | $3K |
| D0603 | 3.7% | 379 | 378 | $3K | |
| D0272 | Bitewings - two radiographic images | 3.5% | 1,109 | 1,016 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 133 | 78 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.5% | 591 | 504 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 2.5% | 31 | 31 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | 2.1% | 57 | 57 | $1K |
| D1351 | Sealant - per tooth | 2.1% | 818 | 216 | $1K |
13 more codes
| D0240 | 2.0% | 93 | $1K | |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 1,734 | $747.54 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.0% | 3,426 | $691.07 |
| D0330 | Panoramic radiographic image | <1% | 277 | $649.88 |
| D1354 | <1% | 328 | $307.92 | |
| D0602 | <1% | 48 | $264.00 | |
| D0601 | <1% | 30 | $220.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 550 | $153.90 |
| D1110 | Prophylaxis - adult | <1% | 214 | $48.97 |
| D1330 | <1% | 2,773 | $0.01 | |
| D1310 | 0% | 661 | $0.00 | |
| D0350 | 0% | 1,231 | $0.00 | |
| D1999 | 0% | 657 | $0.00 |
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.