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
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
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 | 87 | $2K | |
| 2019 | 104 | $2K | |
| 2020 | 33 | $601.44 | |
| 2021 | 39 | $768.04 | |
| 2022 | 52 | $1K | |
| 2023 | 124 | $2K | |
| 2024incomplete | 135 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.