Marimoto, Sandra

Marimoto, Sandra was paid $173K by Medicaid between Feb 2022 and Nov 2023, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 39% of everything it billed.

33Billing provider infoMARIMOTO, SANDRA
CORAL SPRINGS, FL 33067

33aNPI1508421439assigned 05/06/2019

33bProvider typeGeneral Practice Dentistry

28Total paid$173K

24GClaims10,827

24DCodes billed20

24AFirst – last monthFeb 2022 – Nov 2023

Compared with peers

Next to other General Practice Dentistry providers in Florida

Rank by total paid#127 of 568

Median peer was paid$24K

This provider vs. median7.2×

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
2022	3,552	$63K
2023	7,275	$110K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	39%	919	913	$68K
D1110	Prophylaxis - adult	25%	480	477	$43K
D8670	Periodic orthodontic treatment visit	16%	417	394	$28K
D1351	Sealant - per tooth	4.1%	418	113	$7K
D7140	Extraction, erupted tooth or exposed root	3.9%	133	84	$7K
D8660		3.7%	380	339	$6K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.9%	63	47	$5K
D0150	Comprehensive oral evaluation - new or established patient	2.1%	47	45	$4K
D0330	Panoramic radiographic image	1.5%	27	27	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	31	26	$1K
D0140	Limited oral evaluation - problem focused	<1%	60	57	$678.94
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	1,347	1,339	$476.61

8 more codes

D0230	Intraoral - periapical each additional radiographic image	<1%	1,071	$131.94
D0274	Bitewings - four radiographic images	<1%	459	$88.68
D0220	Intraoral - periapical first radiographic image	<1%	1,104	$85.00
D0240		<1%	258	$53.44
D1206	Topical application of fluoride varnish	<1%	1,359	$32.84
D3120		<1%	38	$32.84
D0272	Bitewings - two radiographic images	<1%	777	$13.44
D1330		<1%	1,439	$6.00

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.