Dental
Justiniano, Maricarmen
Justiniano, Maricarmen was paid $4K by Medicaid between Nov 2019 and Dec 2020, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 49% of everything it billed.
33Billing provider infoJUSTINIANO, MARICARMEN
LOCKPORT, NY 14094
LOCKPORT, NY 14094
33aNPI1497948475assigned 08/22/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims154
24DCodes billed3
24AFirst – last monthNov 2019 – Dec 2020
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#1,731 of 2,184
Median peer was paid$54K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 27 | $892.05 | |
| 2020 | 127 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 49% | 56 | 56 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 40% | 66 | 66 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 32 | 32 | $456.00 |
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.