Dental
Peter N Jimenez DDS a Professional Dental Corporation
Peter N Jimenez DDS a Professional Dental Corporation was paid $6.44M by Medicaid between Jan 2019 and Dec 2024, across 40 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.
33Billing provider infoPETER N JIMENEZ DDS A PROFESSIONAL DENTAL CORPORATION
YUCAIPA, CA 92399
YUCAIPA, CA 92399
33aNPI1598232308assigned 10/30/2018
33bProvider typePediatric Dentist
28Total paid$6.44M
24GClaims209,894
24DCodes billed40
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#43 of 332
Median peer was paid$450K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2019 | 13,025 | $323K | |
| 2020 | 21,046 | $518K | |
| 2021 | 40,013 | $998K | |
| 2022 | 42,286 | $1.45M | |
| 2023 | 44,876 | $1.54M | |
| 2024incomplete | 48,648 | $1.60M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 21,239 | 21,080 | $881K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 12,701 | 12,630 | $821K |
| D1310 | 8.6% | 12,357 | 12,313 | $554K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.6% | 4,831 | 1,660 | $552K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 8.6% | 1,756 | 840 | $551K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.6% | 5,373 | 5,361 | $361K |
| D7140 | Extraction, erupted tooth or exposed root | 5.0% | 5,915 | 1,975 | $324K |
| D1208 | Topical application of fluoride, excluding varnish | 4.6% | 17,926 | 17,844 | $294K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.5% | 66,019 | 16,370 | $287K |
| D9993 | 4.3% | 4,567 | 4,564 | $278K | |
| D0145 | Oral evaluation for a patient under three years of age | 2.9% | 2,784 | 2,772 | $187K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.7% | 1,795 | 906 | $172K |
28 more codes
| D0603 | 2.3% | 10,125 | $147K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.2% | 2,243 | $143K |
| D1351 | Sealant - per tooth | 2.1% | 4,082 | $133K |
| D0272 | Bitewings - two radiographic images | 1.7% | 9,641 | $109K |
| D9222 | 1.5% | 813 | $99K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.4% | 2,305 | $91K |
| D9610 | 1.1% | 935 | $71K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.0% | 1,054 | $66K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 5,039 | $58K |
| D9430 | <1% | 1,640 | $52K | |
| D2140 | <1% | 720 | $37K | |
| D0350 | <1% | 2,588 | $27K | |
| D2332 | <1% | 333 | $26K | |
| D2330 | <1% | 328 | $24K | |
| D1510 | <1% | 118 | $23K | |
| D0602 | <1% | 1,431 | $21K | |
| D0274 | Bitewings - four radiographic images | <1% | 783 | $16K |
| D1354 | <1% | 1,308 | $12K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 215 | $11K |
| D0330 | Panoramic radiographic image | <1% | 117 | $4K |
| D0601 | <1% | 132 | $2K | |
| D9248 | <1% | 24 | $840.00 | |
| D1352 | <1% | 18 | $577.50 | |
| D1206 | Topical application of fluoride varnish | <1% | 30 | $321.50 |
| D9920 | <1% | 44 | $140.00 | |
| D9970 | 0% | 19 | $0.00 | |
| D1330 | 0% | 6,532 | $0.00 | |
| D3120 | 0% | 14 | $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.
From NPPES
Who's on the registration
Authorized officialJIMENEZ, PETER (PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Brain to Body Chiropractic | Miami, FL | $935.73 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.