Dental
Banda, Esmeralda
Banda, Esmeralda was paid $5K by Medicaid between Jan 2023 and Mar 2023, across 7 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 61% of everything it billed.
33Billing provider infoBANDA, ESMERALDA
GRAND PRAIRIE, TX 75051
GRAND PRAIRIE, TX 75051
33aNPI1518698000assigned 06/23/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$5K
24GClaims158
24DCodes billed7
24AFirst – last monthJan 2023 – Mar 2023
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#2,096 of 2,774
Median peer was paid$43K
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 | |
|---|---|---|---|
| 2023 | 158 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 61% | 20 | 20 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 15 | 15 | $551.25 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.7% | 14 | 14 | $403.90 |
| D0230 | Intraoral - periapical each additional radiographic image | 7.2% | 20 | 15 | $333.79 |
| D1208 | Topical application of fluoride, excluding varnish | 5.7% | 18 | 18 | $264.60 |
| D0220 | Intraoral - periapical first radiographic image | 4.9% | 18 | 18 | $226.08 |
| D0603 | 0% | 53 | 53 | $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.