Paez De Mendoza, Carmen

Paez De Mendoza, Carmen was paid $58.70 by Medicaid between May 2018 and May 2018, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.

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	28	$58.70

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	100%	16	15	$58.70
D1120	Dental cleaning, childProphylaxis - child	0%	12	12	$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.