Clinic
Delba J. Pena D.D.S., P.C.
Delba J. Pena D.D.S., P.C. was paid $3.66M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is D1110, Prophylaxis - adult — 14% of everything it billed.
33Billing provider infoDELBA J. PENA D.D.S., P.C.
HEMPSTEAD, NY 11550
HEMPSTEAD, NY 11550
33aNPI1639341712assigned 03/28/2008
33bProvider typeDental Clinic/Center
28Total paid$3.66M
24GClaims134,928
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in New York
Rank by total paid#5 of 188
Median peer was paid$113K
This provider vs. median32×
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 | 16,557 | $477K | |
| 2019 | 17,709 | $470K | |
| 2020 | 20,632 | $541K | |
| 2021 | 26,647 | $740K | |
| 2022 | 25,978 | $706K | |
| 2023 | 19,282 | $535K | |
| 2024incomplete | 8,123 | $196K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 14% | 11,523 | 11,522 | $508K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 19,451 | 19,449 | $435K |
| D0274 | Bitewings - four radiographic images | 9.9% | 16,157 | 16,157 | $364K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.1% | 4,875 | 4,137 | $334K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.0% | 9,880 | 9,880 | $328K |
| D8670 | Periodic orthodontic treatment visit | 7.7% | 1,319 | 1,313 | $284K |
| D0220 | Intraoral - periapical first radiographic image | 5.8% | 19,418 | 19,360 | $211K |
| D7140 | Extraction, erupted tooth or exposed root | 4.8% | 3,545 | 2,993 | $175K |
| D1351 | Sealant - per tooth | 3.3% | 1,775 | 1,345 | $120K |
| D1208 | Topical application of fluoride, excluding varnish | 3.1% | 9,616 | 9,616 | $114K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 18,293 | 18,289 | $106K |
| D0210 | Intraoral - complete series of radiographic images | 2.7% | 4,691 | 4,676 | $100K |
24 more codes
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.4% | 1,055 | $88K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 1,925 | $81K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.9% | 917 | $69K |
| D2751 | Crown - porcelain fused to predominantly base metal | 1.6% | 141 | $59K |
| D1206 | Topical application of fluoride varnish | 1.6% | 2,533 | $57K |
| D4342 | 1.3% | 1,757 | $47K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 1,984 | $45K |
| D2954 | 1.2% | 371 | $44K | |
| D2140 | <1% | 279 | $14K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,232 | $12K |
| D0272 | Bitewings - two radiographic images | <1% | 715 | $9K |
| D9945 | <1% | 87 | $8K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 24 | $7K |
| D0340 | <1% | 173 | $7K | |
| D0330 | Panoramic radiographic image | <1% | 176 | $5K |
| D8660 | <1% | 180 | $5K | |
| D0470 | <1% | 177 | $5K | |
| D4341 | <1% | 82 | $4K | |
| D0350 | <1% | 409 | $4K | |
| D2160 | <1% | 44 | $3K | |
| D2331 | <1% | 28 | $3K | |
| D3320 | <1% | 15 | $3K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 14 | $1K |
| D1330 | 0% | 67 | $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 officialPENA, DELBA (PRESIDENT)