Peralta, Juan

Peralta, Juan was paid $395K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 38% of everything it billed.

33Billing provider infoPERALTA, JUAN
CORONA, NY 11368

33aNPI1528135696assigned 11/30/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$395K

24GClaims16,283

24DCodes billed15

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#380 of 2,184

Median peer was paid$54K

This provider vs. median7.4×

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	1,678	$42K
2019	2,100	$47K
2020	2,027	$48K
2021	2,363	$59K
2022	2,555	$63K
2023	3,159	$77K
2024incomplete	2,401	$59K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	38%	4,128	4,126	$150K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	5,439	5,437	$109K
D0274	Bitewings - four radiographic images	11%	2,253	2,253	$44K
D0330	Panoramic radiographic image	11%	1,740	1,740	$42K
D1120	Dental cleaning, childProphylaxis - child	6.0%	758	758	$24K
D1208	Topical application of fluoride, excluding varnish	4.1%	1,493	1,493	$16K
D7140	Extraction, erupted tooth or exposed root	1.2%	129	92	$5K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	76	60	$3K
D0220	Intraoral - periapical first radiographic image	<1%	113	111	$1K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	15	12	$740.22
D0272	Bitewings - two radiographic images	<1%	40	40	$488.45
D1206	Topical application of fluoride varnish	<1%	18	18	$403.50

3 more codes

D0150	Comprehensive oral evaluation - new or established patient	<1%	12	$168.00
D0230	Intraoral - periapical each additional radiographic image	<1%	14	$59.05
D1999		0%	55	$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.