Dental
Aguilar, Jacqueline
Aguilar, Jacqueline was paid $3K by Medicaid between Jan 2018 and Feb 2018, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.
33Billing provider infoAGUILAR, JACQUELINE
NAPA, CA 94558
NAPA, CA 94558
33aNPI1689868242assigned 08/28/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$3K
24GClaims220
24DCodes billed8
24AFirst – last monthJan 2018 – Feb 2018
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,411 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 | |
|---|---|---|---|
| 2018 | 220 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 32 | 32 | $831.35 |
| D1110 | Prophylaxis - adult | 19% | 27 | 27 | $471.72 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 29 | 29 | $323.40 |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 21 | 21 | $277.70 |
| D0274 | Bitewings - four radiographic images | 10% | 33 | 33 | $253.77 |
| D0220 | Intraoral - periapical first radiographic image | 5.7% | 42 | 41 | $143.84 |
| D0330 | Panoramic radiographic image | 5.0% | 15 | 15 | $124.04 |
| D1208 | Topical application of fluoride, excluding varnish | 3.2% | 21 | 21 | $79.90 |
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.