Dental
Marysol B. Realon DDS a Prof. Dental Corp
Marysol B. Realon DDS a Prof. Dental Corp was paid $57K by Medicaid between Jan 2018 and Sep 2024, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 42% of everything it billed.
33Billing provider infoMARYSOL B. REALON DDS A PROF. DENTAL CORP
LATHROP, CA 95330
LATHROP, CA 95330
33aNPI1508023235assigned 05/20/2008
33bProvider typeDentist
28Total paid$57K
24GClaims3,081
24DCodes billed7
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,529 of 2,314
Median peer was paid$185K
This provider vs. median0.3×
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 | 1,338 | $23K | |
| 2019 | 1,319 | $27K | |
| 2020 | 412 | $7K | |
| 2024incomplete | 12 | $630.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 42% | 609 | 607 | $24K |
| D1120 | Dental cleaning, childProphylaxis - child | 34% | 646 | 643 | $19K |
| D1208 | Topical application of fluoride, excluding varnish | 8.7% | 576 | 574 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.0% | 1,046 | 374 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.2% | 44 | 28 | $3K |
| D0274 | Bitewings - four radiographic images | 3.3% | 91 | 91 | $2K |
| D1999 | <1% | 69 | 69 | $20.00 |
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.
From NPPES
Who's on the registration
Authorized officialREALON, MARYSOL (DENTIST)