Dental
Peralta-Sugano, Camila
Peralta-Sugano, Camila was paid $1K by Medicaid between Mar 2019 and Aug 2019, across 2 billing codes. Its largest line is D1120, dental cleaning, child — 71% of everything it billed.
33Billing provider infoPERALTA-SUGANO, CAMILA
BERWYN, IL 60402
BERWYN, IL 60402
33aNPI1699252833assigned 07/20/2018
33bProvider typeDentist
28Total paid$1K
24GClaims36
24DCodes billed2
24AFirst – last monthMar 2019 – Aug 2019
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#1,050 of 1,099
Median peer was paid$160K
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 | |
|---|---|---|---|
| 2019 | 36 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 71% | 20 | 19 | $820.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 29% | 16 | 16 | $336.80 |
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.