Dental
Peralta, Luis
Peralta, Luis was paid $68K by Medicaid between Feb 2020 and May 2021, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 31% of everything it billed.
33Billing provider infoPERALTA, LUIS
CROWN POINT, IN 46307
CROWN POINT, IN 46307
33aNPI1619516556assigned 12/23/2019
33bProvider typeDentist
28Total paid$68K
24GClaims3,239
24DCodes billed12
24AFirst – last monthFeb 2020 – May 2021
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#222 of 452
Median peer was paid$59K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2020 | 2,160 | $44K | |
| 2021 | 1,079 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 31% | 529 | 442 | $21K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 625 | 507 | $17K |
| D1208 | Topical application of fluoride, excluding varnish | 19% | 512 | 427 | $13K |
| D0274 | Bitewings - four radiographic images | 7.9% | 326 | 267 | $5K |
| D1110 | Prophylaxis - adult | 4.2% | 75 | 58 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 425 | 348 | $2K |
| D1351 | Sealant - per tooth | 3.1% | 14 | 14 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 405 | 314 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 58 | 46 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 17 | 13 | $625.92 |
| D0272 | Bitewings - two radiographic images | <1% | 15 | 15 | $122.20 |
| D1999 | 0% | 238 | 205 | $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.