Dental
Pereira, Sergio
Pereira, Sergio was paid $0.00 by Medicaid between Mar 2021 and Jul 2021, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 0% of everything it billed.
33Billing provider infoPEREIRA, SERGIO
ELK GROVE, CA 95757
ELK GROVE, CA 95757
33aNPI1679650360assigned 11/01/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$0.00
24GClaims290
24DCodes billed7
24AFirst – last monthMar 2021 – Jul 2021
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,619 of 2,668
Median peer was paid$173K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 290 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 20 | 19 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 34 | 31 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 49 | 49 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 91 | 53 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 20 | 18 | $0.00 |
| D1330 | 0% | 64 | 60 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 12 | 12 | $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.