Dental
Devilliers, Patricia
Devilliers, Patricia was paid $436.98 by Medicaid between Mar 2022 and Mar 2022, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 100% of everything it billed.
33Billing provider infoDEVILLIERS, PATRICIA
ST. PETERSBURG, FL 33712
ST. PETERSBURG, FL 33712
33aNPI1669568861assigned 10/05/2006
33bProvider typeOral and Maxillofacial Pathology Dentist
28Total paid$436.98
24GClaims47
24DCodes billed3
24AFirst – last monthMar 2022 – Mar 2022
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 | |
|---|---|---|---|
| 2022 | 47 | $436.98 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 100% | 12 | 12 | $436.98 |
| D1330 | 0% | 18 | 18 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 17 | 17 | $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.