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

Ballesteros, Tomas

Ballesteros, Tomas was paid $12K by Medicaid between Feb 2018 and Oct 2024, across 2 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 84% of everything it billed.

33Billing provider infoBALLESTEROS, TOMAS
KENILWORTH, NJ 07033
33aNPI1639303860assigned 05/01/2009
33bProvider typeDentist
28Total paid$12K
24GClaims574
24DCodes billed2
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers

Next to other Dentist providers in New Jersey

Rank by total paid#428 of 674
Median peer was paid$27K
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

$0$500$1.0K$1.5K2018201920202021202220232024
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
201887$2K
2019104$2K
202033$601.44
202139$768.04
202252$1K
2023124$2K
2024incomplete135$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0140 Limited oral evaluation - problem focused 84% 484 481 $10K
D4355 16% 90 84 $2K

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.