Santa Maria, Jean

Santa Maria, Jean was paid $146K by Medicaid between Jan 2018 and Mar 2020, across 8 billing codes. Its largest line is D1351, Sealant - per tooth — 33% of everything it billed.

33Billing provider infoSANTA MARIA, JEAN
CRAWFORDSVILLE, IN 47933

33aNPI1699795096assigned 07/20/2006

33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist

28Total paid$146K

24GClaims5,143

24DCodes billed8

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Indiana

Rank by total paid#4 of 7

Median peer was paid$146K

This provider vs. median1.0×

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	2,661	$81K
2019	2,071	$55K
2020	411	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1351	Sealant - per tooth	33%	1,811	486	$48K
D1120	Dental cleaning, childProphylaxis - child	18%	689	685	$26K
D1206	Topical application of fluoride varnish	17%	1,119	1,114	$25K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	12%	135	87	$17K
D0191		7.0%	713	713	$10K
D0150	Comprehensive oral evaluation - new or established patient	5.1%	181	179	$7K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	4.3%	237	237	$6K
D0272	Bitewings - two radiographic images	4.0%	258	256	$6K

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.