Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Pellerano, Dania

Pellerano, Dania was paid $59K by Medicaid between Feb 2018 and Sep 2023, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.

33Billing provider infoPELLERANO, DANIA
ALBUQUERQUE, NM 87111
33aNPI1639167828assigned 10/11/2005
28Total paid$59K
24GClaims2,239
24DCodes billed14
24AFirst – last monthFeb 2018 – Sep 2023
Compared with peers

Next to other General Practice Dentistry providers in New Mexico

Rank by total paid#96 of 202
Median peer was paid$44K
This provider vs. median1.4×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,845$50K
201987$2K
2020173$4K
202231$817.96
2023103$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 18% 348 348 $11K
D2391 Resin-based composite - one surface, posterior, primary or permanent 15% 169 125 $9K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 14% 374 374 $8K
D1208 Topical application of fluoride, excluding varnish 11% 386 386 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 10% 87 56 $6K
D1110 Prophylaxis - adult 8.6% 152 140 $5K
D0274 Bitewings - four radiographic images 6.6% 139 137 $4K
D0272 Bitewings - two radiographic images 6.0% 180 180 $4K
D0220 Intraoral - periapical first radiographic image 4.3% 233 229 $3K
D0150 Comprehensive oral evaluation - new or established patient 2.5% 44 44 $2K
D0230 Intraoral - periapical each additional radiographic image 1.3% 81 81 $784.80
D0330 Panoramic radiographic image 1.3% 15 15 $769.65
2 more codes
D0140 Limited oral evaluation - problem focused <1% 19 $581.80
D0240 <1% 12 $142.49

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.