Dental
Villadiego, Peter
Villadiego, Peter was paid $129K by Medicaid between Feb 2018 and Dec 2023, across 20 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 26% of everything it billed.
33Billing provider infoVILLADIEGO, PETER
LANCASTER, PA 17603
LANCASTER, PA 17603
33aNPI1649692104assigned 01/16/2014
33bProvider typeDentist
28Total paid$129K
24GClaims2,981
24DCodes billed20
24AFirst – last monthFeb 2018 – Dec 2023
Compared with peers
Next to other Dentist providers in Pennsylvania
Rank by total paid#177 of 683
Median peer was paid$34K
This provider vs. median3.8×
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 | 28 | $841.20 | |
| 2020 | 25 | $922.66 | |
| 2021 | 2,223 | $97K | |
| 2023 | 705 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 26% | 311 | 137 | $34K |
| D1110 | Prophylaxis - adult | 17% | 413 | 412 | $22K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.2% | 315 | 314 | $9K |
| D0330 | Panoramic radiographic image | 6.2% | 134 | 134 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.1% | 201 | 200 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.5% | 62 | 41 | $7K |
| D1330 | 5.4% | 252 | 250 | $7K | |
| D0274 | Bitewings - four radiographic images | 4.7% | 157 | 157 | $6K |
| D1310 | 3.8% | 102 | 102 | $5K | |
| D0140 | Limited oral evaluation - problem focused | 3.1% | 113 | 113 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 337 | 332 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 2.9% | 56 | 56 | $4K |
8 more codes
| D1206 | Topical application of fluoride varnish | 2.5% | 199 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 28 | $3K |
| D1120 | Dental cleaning, child | 1.8% | 56 | $2K |
| D9110 | 1.2% | 46 | $1K | |
| D0270 | <1% | 82 | $1K | |
| D0603 | <1% | 85 | $540.00 | |
| D0272 | Bitewings - two radiographic images | <1% | 16 | $431.20 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 16 | $238.20 |
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.