Albandoz, Lourdes

Albandoz, Lourdes was paid $19K by Medicaid between Jan 2018 and May 2021, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 42% of everything it billed.

33Billing provider infoALBANDOZ, LOURDES
CORONA, NY 11368

33aNPI1538316385assigned 08/23/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$19K

24GClaims1,527

24DCodes billed7

24AFirst – last monthJan 2018 – May 2021

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#1,411 of 2,184

Median peer was paid$54K

This provider vs. median0.4×

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	513	$6K
2019	731	$8K
2020	148	$2K
2021	135	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	42%	377	377	$8K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	32%	608	608	$6K
D0274	Bitewings - four radiographic images	17%	331	331	$3K
D0230	Intraoral - periapical each additional radiographic image	5.3%	148	148	$1K
D1120	Dental cleaning, childProphylaxis - child	2.6%	39	39	$490.92
D1208	Topical application of fluoride, excluding varnish	<1%	12	12	$55.30
D0220	Intraoral - periapical first radiographic image	<1%	12	12	$50.31

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.