Dental
Reynoso, Patria
Reynoso, Patria was paid $453K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoREYNOSO, PATRIA
JACKSON HEIGHTS, NY 11372
JACKSON HEIGHTS, NY 11372
33aNPI1538130091assigned 01/31/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$453K
24GClaims25,360
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#338 of 2,184
Median peer was paid$54K
This provider vs. median8.5×
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 | 2,853 | $35K | |
| 2019 | 3,879 | $65K | |
| 2020 | 5,036 | $91K | |
| 2021 | 5,524 | $106K | |
| 2022 | 5,122 | $101K | |
| 2023 | 1,678 | $30K | |
| 2024incomplete | 1,268 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 3,235 | 3,233 | $134K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 4,937 | 4,933 | $106K |
| D0272 | Bitewings - two radiographic images | 12% | 4,259 | 4,256 | $52K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 1,559 | 1,555 | $49K |
| D0220 | Intraoral - periapical first radiographic image | 10.0% | 5,202 | 5,181 | $45K |
| D1208 | Topical application of fluoride, excluding varnish | 6.8% | 2,905 | 2,903 | $31K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.5% | 2,558 | 2,553 | $16K |
| D1351 | Sealant - per tooth | 1.9% | 301 | 70 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 136 | 80 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 73 | 42 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | 12 | $139.86 |
| D0601 | <1% | 98 | 98 | $97.00 |
1 more codes
| D1999 | 0% | 85 | $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.