Dental
De Los Santos, Abner
De Los Santos, Abner was paid $2K by Medicaid between Feb 2020 and Jul 2020, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 50% of everything it billed.
33Billing provider infoDE LOS SANTOS, ABNER
FAIRPORT, NY 14450
FAIRPORT, NY 14450
33aNPI1710415039assigned 05/31/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$2K
24GClaims92
24DCodes billed4
24AFirst – last monthFeb 2020 – Jul 2020
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#1,914 of 2,184
Median peer was paid$54K
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 | |
|---|---|---|---|
| 2020 | 92 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 50% | 30 | 30 | $826.50 |
| D1120 | Dental cleaning, childProphylaxis - child | 38% | 15 | 15 | $627.95 |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 15 | 15 | $212.80 |
| D1999 | 0% | 32 | 31 | $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.