Dental
Fonseca, Jacqueline
Fonseca, Jacqueline was paid $113K by Medicaid between Jan 2020 and Dec 2024, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 28% of everything it billed.
33Billing provider infoFONSECA, JACQUELINE
SUNRISE, FL 33351
SUNRISE, FL 33351
33aNPI1487005369assigned 06/22/2016
33bProvider typeDentist
28Total paid$113K
24GClaims8,941
24DCodes billed10
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Florida
Rank by total paid#166 of 542
Median peer was paid$25K
This provider vs. median4.5×
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 | |
|---|---|---|---|
| 2020 | 590 | $10K | |
| 2021 | 270 | $3K | |
| 2022 | 2,778 | $36K | |
| 2023 | 3,193 | $43K | |
| 2024incomplete | 2,110 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 28% | 940 | 926 | $32K |
| D1110 | Prophylaxis - adult | 27% | 1,287 | 1,264 | $30K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 945 | 930 | $27K |
| D1330 | 9.2% | 2,005 | 1,972 | $10K | |
| D0210 | Intraoral - complete series of radiographic images | 8.0% | 804 | 790 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 2.8% | 1,566 | 1,536 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 640 | 624 | $646.29 |
| D0274 | Bitewings - four radiographic images | <1% | 309 | 304 | $578.66 |
| D0140 | Limited oral evaluation - problem focused | <1% | 53 | 49 | $462.83 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 392 | 386 | $336.74 |
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.